Provider Demographics
NPI:1235427402
Name:MARSHALL, GENEVIEVE KATHERINE COXON (BCBA-D)
Entity Type:Individual
Prefix:DR
First Name:GENEVIEVE
Middle Name:KATHERINE COXON
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:BCBA-D
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8200 PROFESSIONAL PL STE 115
Mailing Address - Street 2:
Mailing Address - City:LANDOVER
Mailing Address - State:MD
Mailing Address - Zip Code:20785-2293
Mailing Address - Country:US
Mailing Address - Phone:240-297-3550
Mailing Address - Fax:
Practice Address - Street 1:150 W. UNIVERSITY BLVD.
Practice Address - Street 2:SCOTT CENTER FOR AUTISM TREATMENT
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-6982
Practice Address - Country:US
Practice Address - Phone:321-674-8106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-21
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLBA065103K00000X
103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst