Individual provider Active NPI

Marguerite Poertner Doran, M.ED., BCBA

  • Behavior Analyst
  • Pearland, TX
National Provider Identifier
1659919777
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
5448 Issued in TX
Practice address
1799 Kirby Dr Ste Pearland
Pearland, TX 77584-5607
Phone
(855) 782-7822
NPI assigned
Dec 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X 5448 TX Primary

Addresses

Primary practice location

1799 Kirby Dr Ste Pearland
Pearland, TX 77584-5607

Mailing address

1799 Kirby Dr Ste Pearland
Pearland, TX 77584-5607
Phone (855) 782-7822

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://behavioral-innovations.com/locations/cedar-park/

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

LicenseStateTypeSpecialty
5448TXMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1659919777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1799 KIRBY DR STE PEARLAND",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775845607",
            "telephone_number": "855-782-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 KIRBY DR STE PEARLAND",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775845607",
            "telephone_number": "855-782-7822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORAN",
        "first_name": "MARGUERITE",
        "middle_name": "POERTNER",
        "name_prefix": "Miss",
        "credential": "M.ED., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-19",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "5448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://behavioral-innovations.com/locations/cedar-park/",
            "affiliation": "N",
            "address_1": "1603 Medical Pkwy Ste 100",
            "city": "Cedar Park",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786137904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.