Taylor Mardis Dewoody, M.A., B.C.B.A, L.B.A

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

L-159 Issued in LA

Practice address

1210 Aldersgate Rd
Little Rock, AR 72205-6606

Phone

(501) 574-3053

NPI assigned

Jun 29, 2016

Last updated

Jul 29, 2021By 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

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Aim Therapy, LLC

  dba AIM Clinics

  • Speech-Language Pathologist
  • Little Rock, AR
  • NPI 1801402821
  NPD
• McNeese State University

  • Community/Behavioral Health Agency
  • Lake Charles, LA
  • NPI 1851616262
  NPD (past)

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1841641073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 ALDERSGATE RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056606",
            "telephone_number": "501-574-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 ALDERSGATE RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056606",
            "telephone_number": "501-574-3053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 S Donaghey Ave",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "AR",
            "postal_code": "720346880",
            "country_code": "US",
            "telephone_number": "501-574-3053",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2846 N Garland Ave",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727042164",
            "country_code": "US",
            "telephone_number": "337-764-5326",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1704 W Industrial Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727562497",
            "country_code": "US",
            "telephone_number": "479-439-6906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2703 SE Otis Corley Dr Ste 11",
            "address_purpose": "LOCATION",
            "city": "Bentonville",
            "state": "AR",
            "postal_code": "727123414",
            "country_code": "US",
            "telephone_number": "479-439-6906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4205 Ryan St",
            "address_2": "Farrar Hall Suite 223",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706054511",
            "country_code": "US",
            "telephone_number": "337-562-4246",
            "fax_number": "337-562-4221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 Aldersgate Rd",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722056675",
            "country_code": "US",
            "telephone_number": "501-574-3053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEWOODY",
        "first_name": "TAYLOR",
        "middle_name": "MARDIS",
        "credential": "M.A., B.C.B.A, L.B.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "L-159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin T Dewbre, MHPP
• Kathy Thye Dewbre
• Valerie Ann Dewese, LMSW
• Dalton Colt Dewey, PA-C
• Jeffery Dewitt, MHPP
• Tanushree Dey
• Michael Deyo, LPC
• Lucas Calvin Deyoung
• Oktawia Amadea Deyoung, PHARMD
• DH Howard Transportation LLC

• Behavior Analyst in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Behavior Analyst in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.