Active NPIIndividual provider

Marissa Allen, BCBA, LBA

Behavior Analyst in Bellevue, Washington

NPI Number1104591551
Practice location
2310 130TH Ave NE Ste 100, Bellevue, WA 98005-1757
Fax
—
Last updated
April 28, 2024

Marissa Allen is a Behavior Analyst based in Bellevue, WA. Marissa Allen practices in Bellevue, WA and has the professional credentials of BCBA, LBA. The NPI Number for Marissa Allen is 1104591551 and holds a License No. LBA.BA.61555256 (WA). The current practice location address for Marissa Allen is 2310 130TH Ave NE Ste 100, Bellevue, WA 98005-1757 and can be reached out via phone at 425-882-8868.

Provider Profile Details

NPI Number
1104591551
Provider Name
Marissa Allen
Credential
BCBA, LBA
Provider Entity Type
Individual
Gender
Female
Address
2310 130TH Ave NE Ste 100, Bellevue, WA 98005-1757
Phone Number
425-882-8868
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
August 9, 2021
Last Update Date
April 28, 2024
Certification Date
April 28, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
2310 130TH Ave NE Ste 100
Bellevue, WA 98005-1757
Zip
98005-1757
Phone Number
425-882-8868
Bellevue, WA 98005Get directions →

Provider Business Mailing Address Details

Address
7016 15TH Ave NW Unit 113
Seattle, WA 98117-5589
City
Seattle
State
WA
Zip
98117-5589
Phone Number
206-890-8895

License Information

License Number
LBA.BA.61555256
License State
WA
Taxonomy
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marissa Allen, BCBA, LBA?

The NPI number of Marissa Allen, BCBA, LBA is 1104591551. It was assigned on August 9, 2021 and is currently active in the NPPES registry.

What is the specialty of Marissa Allen, BCBA, LBA?

Marissa Allen, BCBA, LBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in WA under license number LBA.BA.61555256.

Where does Marissa Allen, BCBA, LBA practice?

The practice location is 2310 130TH Ave NE Ste 100, Bellevue, WA 98005-1757. The office can be reached at 425-882-8868 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104591551 directly on the NPPES registry website.

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