McCormack Enterprise, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

MCCORMACK ENTERPRISE, LLC

Practice address

1003 Sherwood Dr
Ruston, LA 71270-2135

Phone

(318) 237-8216

NPI assigned

Feb 7, 2020

Last updated

Mar 2, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joshua Ray McCormack, BCBANPI 1760937783

Title

Owner

Phone

(318) 237-8216

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joshua McCormack, BCBA

  • Behavior Analyst
  • Ruston, LA
  • NPI 1760937783
  NPD Authorized official

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740873600000",
    "number": "1992337976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 SHERWOOD DR",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712702135",
            "telephone_number": "318-237-8216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 SHERWOOD DR",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712702135",
            "telephone_number": "318-237-8216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCORMACK ENTERPRISE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-07",
        "last_updated": "2025-03-02",
        "certification_date": "2025-03-02",
        "status": "A",
        "authorized_official_last_name": "MCCORMACK",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-237-8216",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2442210",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Roff McCarthy, O. T.
• Anna McClain
• Latavia Jenelle McClain
• Phillip McClain
• Derek R McClusky, M.D.
• Joshua McCormack, BCBA
• Rhonda Leigh McCormick, FNP
• Rhoda Dardaius McCovery, LMSW
• Amanda McDaniel, SLP
• Mary-Kyle McDonald

• Behavior Analyst in Ruston, LA
• Providers in Ruston, LA by specialty
• Behavior Analyst in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2025; 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.