Marcos Leonard Stout I, M.A. BCBA #11935543

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-35543 Issued in CA

Practice address

1901 E Lambert Rd Ste 203Q
La Habra, CA 90631-5756

Phone

(562) 298-0565

NPI assigned

Mar 18, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1649739897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 E LAMBERT RD STE 203Q",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906315756",
            "telephone_number": "562-298-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 E LAMBERT RD STE 203Q",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906315756",
            "telephone_number": "562-298-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUT",
        "first_name": "MARCOS",
        "middle_name": "LEONARD",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "M.A. BCBA #11935543",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-18",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-19-35543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willie Staten
• Jeffrey John Stehly, DDS
• Dean Kent Stewart, DDS
• Sharon Rose Stines, LPPC 6413
• Michael Ken Stites, D.C.
• Eddy B Sugiarto, DDS
• Suk Joong Lee DDS Inc
• Jessica T Sung, D.M.D., M.S.
• Sunny Bohwa Acupuncture Herb Clinic
• Sunshine Extended Services, Inc.

• Behavior Analyst in La Habra, CA
• Providers in La Habra, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.