Active NPI
Marcus Thea Bland, M.ED,RBT
- Behavior Technician
- Midlothian, VA
National Provider Identifier
1649845116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 2820 Waterford Lake Dr
Midlothian, VA 23112-3994 - Phone
- (804) 658-4509
- NPI assigned
- May 26, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-18-52170 | VA | |
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
2820 Waterford Lake Dr
Midlothian, VA 23112-3994
Mailing address
17610 Fox Branch Rd
Carson, VA 23830-2307
Phone (804) 490-8760
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-18-52170 | VA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621987200000",
"number": "1649845116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17610 FOX BRANCH RD",
"city": "CARSON",
"state": "VA",
"postal_code": "238302307",
"telephone_number": "804-490-8760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 WATERFORD LAKE DR",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231123994",
"telephone_number": "804-658-4509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAND",
"first_name": "MARCUS",
"middle_name": "THEA",
"name_prefix": "Mr.",
"credential": "M.ED,RBT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-26",
"last_updated": "2021-05-26",
"certification_date": "2021-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "VA",
"license": "RBT-18-52170",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.