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MARISSA MACCULLOCH
NPI 1063820934
Behavior Analyst in Bethpage, NY

Active since July 23, 2014
49 COLUMBIA ST, BETHPAGE, NY 11714(516) 319-3316 Get Directions Write a Review

NPPES record last updated: July 23, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Marissa Macculloch NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISSA MACCULLOCH (NPI 1063820934) is an individual behavior analyst provider in Bethpage, New York and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1063820934
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameMARISSA MACCULLOCH
Location Address49 COLUMBIA STBethpage, NY 11714-5112
Mailing Address49 Columbia StBethpage, NY 11714-5112 · (516) 319-3316
Phone(516) 319-3316
Sole ProprietorNo
Enumeration DateJuly 23, 2014
✔ NPI 1063820934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
49 COLUMBIA ST, Bethpage, NY 11714
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marissa Macculloch's NPI number?

The NPI number for Marissa Macculloch is 1063820934. It was assigned to this individual provider in the NPPES registry on July 23, 2014.

Where is Marissa Macculloch located?

Marissa Macculloch practices at 49 Columbia St, Bethpage, NY 11714. The listed phone number is (516) 319-3316.

What is Marissa Macculloch's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Marissa Macculloch was last updated on July 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.