Marilee Bono

Key facts

NPI

1689131237

Entity type

Individual (NPI type 1)

Primary specialty

Behavior Analyst 103K00000X

License

0133001335 (VA)

Practice address

1701 Byrd Ave
Richmond, VA 23230-3011

Phone

(804) 612-1947

NPI assigned

Mar 1, 2019

Sex

Female

Sole proprietor

No

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.

• The Faison Center, Inc Behavior Analyst · Richmond, VA · NPI 1740586106
  NPD (past) BEHAVIOR ANALYST

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 1, 2019.

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1689131237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 BYRD AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303011",
            "telephone_number": "804-612-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 BYRD AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303011",
            "telephone_number": "804-612-1947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONO",
        "first_name": "MARILEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-01",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133001335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Richmond, VA · Behavior Analyst in Virginia