Active NPI
Marquis Niccolls
- Behavior Technician
- Stuart, FL
National Provider Identifier
1992441265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 850 NW Federal Hwy Ste 173
Stuart, FL 34994-1019 - Phone
- (772) 362-9878
- NPI assigned
- May 10, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
850 NW Federal Hwy Ste 173
Stuart, FL 34994-1019
Mailing address
2410 NW 42ND Ave
Lauderhill, FL 33313-3626
Phone (413) 693-9635
Other practice location 1
1411B Sawgrass Corporate Pkwy
Sunrise, FL 33323-2888
Phone (954) 237-1903
Other practice location 2
1880 N Congress Ave Ste 311
Boynton Beach, FL 33426-8675
Phone (786) 206-6500
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716249600000",
"number": "1992441265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2410 NW 42ND AVE",
"city": "LAUDERHILL",
"state": "FL",
"postal_code": "333133626",
"telephone_number": "413-693-9635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 NW FEDERAL HWY STE 173",
"city": "STUART",
"state": "FL",
"postal_code": "349941019",
"telephone_number": "772-362-9878"
}
],
"practiceLocations": [
{
"address_1": "1411B Sawgrass Corporate Pkwy",
"address_purpose": "LOCATION",
"city": "Sunrise",
"state": "FL",
"postal_code": "333232888",
"country_code": "US",
"telephone_number": "954-237-1903",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1880 N Congress Ave Ste 311",
"address_purpose": "LOCATION",
"city": "Boynton Beach",
"state": "FL",
"postal_code": "334268675",
"country_code": "US",
"telephone_number": "786-206-6500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICCOLLS",
"first_name": "MARQUIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-10",
"last_updated": "2024-05-21",
"certification_date": "2024-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.