Individual provider Active NPI

Mayra Alexandra Nunez, M.S., BCBA

  • Behavior Analyst
  • Clarkston, MI
National Provider Identifier
1972170314
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
6510 Town Center Dr Ste E
Clarkston, MI 48346-4822
Phone
(248) 965-0417
NPI assigned
Jun 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

6510 Town Center Dr Ste E
Clarkston, MI 48346-4822

Mailing address

14544 SW 95TH LN
Miami, FL 33186-1038
Phone (305) 720-4416

Other practice location 1

201 Regency Pkwy
Mansfield, TX 76063-5638
Phone (682) 400-0305

Other practice location 2

3111 N Tustin St Ste 160
Orange, CA 92865-1700
Phone (657) 202-6464

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Vocational Development Group, LLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1972170314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14544 SW 95TH LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861038",
            "telephone_number": "305-720-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6510 TOWN CENTER DR STE E",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483464822",
            "telephone_number": "248-965-0417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Regency Pkwy",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760635638",
            "country_code": "US",
            "telephone_number": "682-400-0305",
            "fax_number": "682-334-7806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3111 N Tustin St Ste 160",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928651700",
            "country_code": "US",
            "telephone_number": "657-202-6464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "MAYRA",
        "middle_name": "ALEXANDRA",
        "credential": "M.S., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-04",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.