Active NPI
Marquita Harris
- Behavior Technician
- Woodland Hills, CA
National Provider Identifier
1679170013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 21600 Oxnard St
Woodland Hills, CA 91367-4976 - NPI assigned
- Oct 8, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
21600 Oxnard St
Woodland Hills, CA 91367-4976
Mailing address
1717 Prima Vera Ter
Saint Louis, MO 63138-1835
Phone (314) 776-8791
Other practice location 1
1320 Baur Blvd
Olivette, MO 63132-1903
Phone (314) 528-5909
Other practice location 2
1320 Baur Blvd
Saint Louis, MO 63132-1903
Other practice location 3
1320 Baur Blvd
Saint Louis, MO 63132-1903
Other practice location 4
1320 Baur Blvd
Olivette, MO 63132
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602115200000",
"number": "1679170013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 PRIMA VERA TER",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631381835",
"telephone_number": "314-776-8791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21600 OXNARD ST",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913674976"
}
],
"practiceLocations": [
{
"address_1": "1320 Baur Blvd",
"address_purpose": "LOCATION",
"city": "Olivette",
"state": "MO",
"postal_code": "631321903",
"country_code": "US",
"telephone_number": "314-528-5909",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1320 Baur Blvd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631321903",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1320 Baur Blvd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631321903",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1320 Baur Blvd",
"address_purpose": "LOCATION",
"city": "Olivette",
"state": "MO",
"postal_code": "63132",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRIS",
"first_name": "MARQUITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-08",
"last_updated": "2020-10-08",
"certification_date": "2020-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.