Individual provider Active NPI

Marieanne Stockton, BCABA

  • Behavior Analyst
  • Syracuse, NY
National Provider Identifier
1952784555
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
001516 Issued in NY
Practice address
1603 Court St
Syracuse, NY 13208
Phone
(315) 455-7592
NPI assigned
Jul 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 000021 NY
Behavior Analyst 103K00000X 001516 NY Primary

Addresses

Primary practice location

1603 Court St
Syracuse, NY 13208

Mailing address

202 Ferncliff Ave
Liverpool, NY 13088-6410
Phone (315) 751-0062

Other practice location 1

1065 James St
Suite 210
Syracuse, NY 13203-2787
Phone (315) 732-3431

Other practice location 2

1603 Court St
Syracuse, NY 13208
Phone (315) 455-7592

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
000021NYMDMental Health Counselor
001516NYMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1952784555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 FERNCLIFF AVE",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130886410",
            "telephone_number": "315-751-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 COURT ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13208",
            "telephone_number": "315-455-7592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1065 James St",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132032787",
            "country_code": "US",
            "telephone_number": "315-732-3431",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1603 Court St",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "13208",
            "country_code": "US",
            "telephone_number": "315-455-7592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOCKTON",
        "first_name": "MARIEANNE",
        "credential": "BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "000021",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "001516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.