Individual provider Active NPI

Mark-Anthony McCalla

  • Behavior Technician
  • Oakland Park, FL
National Provider Identifier
1851068993
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-21-171293 Issued in FL
Practice address
4431 NW 20TH Ave
Oakland Park, FL 33309-3673
Phone
(754) 265-1253
NPI assigned
Aug 26, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X RBT-21-171293 FL Primary

Addresses

Primary practice location

4431 NW 20TH Ave
Oakland Park, FL 33309-3673

Mailing address

4431 NW 20TH Ave
Oakland Park, FL 33309-3673
Phone (754) 265-1253

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL mrmtutoring2@gmail.com Direct

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

State licenses

LicenseStateTypeSpecialty
RBT-21-171293FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1851068993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4431 NW 20TH AVE",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333093673",
            "telephone_number": "754-265-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4431 NW 20TH AVE",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333093673",
            "telephone_number": "754-265-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALLA",
        "first_name": "MARK-ANTHONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-21-171293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mrmtutoring2@gmail.com",
            "affiliation": "N",
            "endpointDescription": "laptop",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "email",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4431 NW 20th Ave",
            "city": "Oakland Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333093673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.