Individual provider Active NPI

Katrina Marie Marler

  • Behavior Analyst
  • Hillsborough, NC
National Provider Identifier
1689015323
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
2205 Becketts Ridge Dr
Hillsborough, NC 27278-6641
Phone
(910) 939-9986
NPI assigned
Jul 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

2205 Becketts Ridge Dr
Hillsborough, NC 27278-6641

Mailing address

304 Wellington PL
Jacksonville, NC 28546-8341
Phone (910) 939-9986

Other practice location 1

304 Wellington Pl
Jacksonville, NC 28546-8341
Phone (910) 939-9986

Other practice location 2

304 Wellington Pl
Jacksonville, NC 28546-8341
Phone (910) 939-9986

Other practice location 3

603 New Bridge St
Jacksonville, NC 28540-5432
Phone (910) 939-5240

Other practice location 4

231 New Bridge St
Jacksonville, NC 28540-4736
Phone (910) 939-5240

Other practice location 5

4301 N Federal Hwy
Suite 2 south
Pompano Beach, FL 33064-6519
Phone (888) 880-9270

Other practice location 6

603 New Bridge St
Jacksonville, NC 28540-5432
Phone (910) 939-5240

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
Successful Child ABA Therapy, LLC Behavior Analyst CurrentSince Feb 21, 2021 Accepting new patients

Locations

2812 Commerce Rd
Jacksonville, NC 28546
Phone (910) 333-8050

Organizations & group practices 1

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": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1689015323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 WELLINGTON PL",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285468341",
            "telephone_number": "910-939-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 BECKETTS RIDGE DR",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272786641",
            "telephone_number": "910-939-9986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 Wellington Pl",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285468341",
            "country_code": "US",
            "telephone_number": "910-939-9986",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "304 Wellington Pl",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285468341",
            "country_code": "US",
            "telephone_number": "910-939-9986",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "603 New Bridge St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285405432",
            "country_code": "US",
            "telephone_number": "910-939-5240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "231 New Bridge St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285404736",
            "country_code": "US",
            "telephone_number": "910-939-5240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4301 N Federal Hwy",
            "address_2": "Suite 2 south",
            "address_purpose": "LOCATION",
            "city": "Pompano Beach",
            "state": "FL",
            "postal_code": "330646519",
            "country_code": "US",
            "telephone_number": "888-880-9270",
            "fax_number": "954-342-0273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "603 New Bridge St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285405432",
            "country_code": "US",
            "telephone_number": "910-939-5240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARLER",
        "first_name": "KATRINA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-10",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.

Verify at the official NPI Registry.