Individual provider Active NPI

Mar'Leesia Crawford

  • Behavior Analyst
  • Jacksonville, FL
National Provider Identifier
1669921102
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
763 Cahoon Rd N
Jacksonville, FL 32220-2532
Phone
(904) 701-0317
Fax
(904) 701-0317
NPI assigned
Sep 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X FL Primary
Assistant Behavior Analyst 106E00000X FL

Addresses

Primary practice location

763 Cahoon Rd N
Jacksonville, FL 32220-2532

Mailing address

763 Cahoon Rd N
Jacksonville, FL 32220-2532
Phone (904) 701-0317

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

Practice roles

OrganizationSpecialtyStatusNew patients
Missing Piece Behavioral Solutions LLC Behavior Analyst CurrentSince May 14, 2023 Accepting new patients
Cayer Behavioral Group Behavior Analyst Past Accepting new patients
Cayer Behavioral Group, Inc Behavior Analyst Past Accepting new patients

Locations

6850 103rd St
Ste 2
Jacksonville, FL 32210
Phone (866) 816-7846

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1669921102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 CAHOON RD N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322202532",
            "telephone_number": "904-701-0317",
            "fax_number": "904-701-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 CAHOON RD N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322202532",
            "telephone_number": "904-701-0317",
            "fax_number": "904-701-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "MAR'LEESIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.