MEDICARE: DR. MARK RICHARD DIXON PH.D. BCBA-D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1497987747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK RICHARD DIXON PH.D. BCBA-D

Provider Business Mailing Address
First Line	:	2055 CRAIGSHIRE RD STE 230
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63146-4012
Country	:	US
Telephone Number	:	314-275-0506
Fax Number	:	314-463-4937

Provider Business Practice Location Address
First Line	:	2055 CRAIGSHIRE RD STE 230
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63146-4012
Country	:	US
Telephone Number	:	314-275-0506
Fax Number	:	314-463-4937

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2009
Last Update Date	:	03/25/2024

Similar Medicare Providers

1407706781 — JOY KENDAGOR
Practice Location Address:

2055 CRAIGSHIRE DR STE 410
SAINT LOUIS, MO
63146-4012

Practice Phone: 314-200-2140
Practice Fax:

1093721300 — MR. GREGORY ALLEN RIEGER MSW, LCSW
Practice Location Address:

2055 CRAIGSHIRE RD STE 120
SAINT LOUIS, MO
63146-4012

Practice Phone: 314-681-1223
Practice Fax:

1437574183 — MISSOURI CARIS HEALTHCARE LLC
Practice Location Address:

2055 CRAIGSHIRE DR STE 220
SAINT LOUIS, MO
63146-4012

Practice Phone: 636-527-6675
Practice Fax:

1194277111 — BRITTNEY BUFFORD
Practice Location Address:

2055 CRAIGSHIRE DR STE 410
SAINT LOUIS, MO
63146-4012

Practice Phone: 314-200-2140
Practice Fax:

1881270072 — KARI MOLLOY
Practice Location Address:

2055 CRAIGSHIRE RD STE 230
SAINT LOUIS, MO
63146-4012

Practice Phone: 815-666-6932
Practice Fax:

1104590611 — LAURA MAE GARRETT BCBA
Practice Location Address:

2055 CRAIGSHIRE RD STE 407
SAINT LOUIS, MO
63146-4012

Practice Phone: 314-275-0506
Practice Fax:

Directions to “ DR. MARK RICHARD DIXON PH.D. BCBA-D” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.