Active NPI
Mary Alexis Cox
- Behavior Analyst
- O Fallon, IL
National Provider Identifier
1891350674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-19-34631
- Practice address
- 634 N Main St Ste 4
O Fallon, IL 62269-3746 - Phone
- (618) 276-5870
- NPI assigned
- May 7, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 2019003789 | MO | |
| Behavior Analyst | 103K00000X | 1-19-34631 | Primary |
Addresses
Primary practice location
634 N Main St Ste 4
O Fallon, IL 62269-3746
Mailing address
21600 Oxnard St
Woodland Hills, CA 91367-4976
Phone (818) 345-2345
Other practice location 1
2644 Metro Blvd
Maryland Heights, MO 63043-2412
Phone (314) 395-9375
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2019003789 | MO | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Intervention Services | Behavior Analyst | Past | Accepting new patients |
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.
-
- Behavior Analyst
- Maryland Heights, MO
- NPI 1689732620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560988800000",
"number": "1891350674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21600 OXNARD ST",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913674976",
"telephone_number": "818-345-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "634 N MAIN ST STE 4",
"city": "O FALLON",
"state": "IL",
"postal_code": "622693746",
"telephone_number": "618-276-5870"
}
],
"practiceLocations": [
{
"address_1": "2644 Metro Blvd",
"address_purpose": "LOCATION",
"city": "Maryland Heights",
"state": "MO",
"postal_code": "630432412",
"country_code": "US",
"telephone_number": "314-395-9375",
"fax_number": "314-395-9381",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COX",
"first_name": "MARY",
"middle_name": "ALEXIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-07",
"last_updated": "2019-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MO",
"license": "2019003789",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-19-34631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in O Fallon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.