Daceya McDuffie

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-18-62087 Issued in FL

Practice address

340 Commerce Ave Ste 6
Southern Pines, NC 28387-7115

Phone

(910) 688-3646

Fax

(910) 688-7057

NPI assigned

Sep 5, 2019

Last updated

Feb 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Emerald Coast Autism Center

  • Community/Behavioral Health Agency
  • Niceville, FL
  • NPI 1972030617
  NPD (past)

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1780233437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 COMMERCE AVE STE 6",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283877115",
            "telephone_number": "910-688-3646",
            "fax_number": "910-688-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 COMMERCE AVE STE 6",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283877115",
            "telephone_number": "910-688-3646",
            "fax_number": "910-688-7057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDUFFIE",
        "first_name": "DACEYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-05",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-18-62087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kasey Michelle McCann, PTA
• Mary Kay McClure, PTA
• Christopher J McCoy, PTA
• Megan McDonnell, PSYD
• Madeline Elaine McDonough, M.ED, BCBA
• McGowan Counseling Services, P. a.
• Barbara C McGowan, LCSW
• Kimberly Deon McGregor, LCAS, CCS-I
• Thomas P McKay Jr., D.C.
• Susan McKibben, L.AC.

• Behavior Technician in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Behavior Technician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.

Verify at the official NPI Registry.