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MARISA LUELLAMAE SHACKLEFORD
NPI 1083344246
Behavior Analyst in Faribault, MN

Active since June 12, 2022
218 CENTRAL AVE N, FARIBAULT, MN 55021(507) 491-5475 Get Directions Write a Review

NPPES record last updated: June 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marisa Luellamae Shackleford NPPES

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

MARISA LUELLAMAE SHACKLEFORD (NPI 1083344246) is an individual behavior analyst provider in Faribault, Minnesota and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1083344246
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameMARISA LUELLAMAE SHACKLEFORD
Location Address218 CENTRAL AVE NFaribault, MN 55021-5278
Mailing Address218 Central Ave NFaribault, MN 55021-5278
Phone(507) 491-5475
Sole ProprietorNo
Enumeration DateJune 12, 2022
NPPES CertifiedJune 12, 2022
✔ NPI 1083344246 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.
218 CENTRAL AVE N, Faribault, MN 55021
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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GETACHEW TSEHAYE
Behavior Analyst
218 CENTRAL AVE N
FARIBAULT, MN 55021
Rice County (507) 838-2719
MERCY FAMILY THERAPY LLC
Early Intervention Provider Agency
218 CENTRAL AVE N
FARIBAULT, MN 55021
Rice County (612) 707-1718
ASHA OYOW
Behavior Analyst
218 CENTRAL AVE N
FARIBAULT, MN 55021
Rice County (612) 707-1718
ELODIA MUNOZ
Behavior Analyst
218 CENTRAL AVE N
FARIBAULT, MN 55021
Rice County (507) 210-6457
NASTEHO ADAN HASHIM
Behavior Analyst
218 CENTRAL AVE N
FARIBAULT, MN 55021
Rice County (612) 707-1718
NIMO ALI
Behavior Analyst
218 CENTRAL AVE N
FARIBAULT, MN 55021
Rice County No phone listed
RAHMO A ABDIWAHAB
Behavior Analyst
218 CENTRAL AVE N
FARIBAULT, MN 55021
Rice County (612) 707-1718
MOHAMED HASSAN
Behavior Analyst
218 CENTRAL AVE N
FARIBAULT, MN 55021
Rice County (612) 707-1718

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 Marisa Shackleford's NPI number?

The NPI number for Marisa Shackleford is 1083344246. It was assigned to this individual provider in the NPPES registry on June 12, 2022.

Where is Marisa Shackleford located?

Marisa Shackleford practices at 218 Central Ave N, Faribault, MN 55021. The listed phone number is (507) 491-5475.

What is Marisa Shackleford'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 Marisa Shackleford was last updated on June 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.