MARISSA MACK BA, RBT
NPI 1114723970
Behavior Technician in Kokomo, IN

Active since February 21, 2025
1558 E BOULEVARD STE A, KOKOMO, IN 46902(765) 252-0530(317) 520-8200 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marissa Mack Ba, Rbt NPPES

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

MARISSA MACK BA, RBT (NPI 1114723970) is an individual behavior technician in Kokomo, Indiana, licensed in (RBT-24-394558) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1114723970
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameMARISSA MACKCredential: BA, RBT
Location Address1558 E BOULEVARD STE AKokomo, IN 46902-2587
Mailing Address3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135 · (855) 324-0885 · Fax (317) 520-8200
Fax(317) 520-8200
Sole ProprietorNo
Enumeration DateFebruary 21, 2025
NPPES CertifiedFebruary 21, 2025
NPI 1114723970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed · RBT-24-394558
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
1558 E BOULEVARD STE A, Kokomo, IN 46902

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Behavior Technician
1558 E BOULEVARD STE A
KOKOMO, IN 46902
Behavior Technician
1558 E BOULEVARD STE A
KOKOMO, IN 46902
Behavior Technician
1558 E BOULEVARD STE A
KOKOMO, IN 46902
Behavior Technician
1558 E BOULEVARD STE A
KOKOMO, IN 46902
Behavior Technician
1558 E BOULEVARD STE A
KOKOMO, IN 46902
Behavior Technician
1558 E BOULEVARD STE A
KOKOMO, IN 46902
Psychologist (Adult Development & Aging)
1558 E BOULEVARD STE A
KOKOMO, IN 46902
Behavior Technician
1558 E BOULEVARD STE A
KOKOMO, IN 46902

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 Mack's NPI number?

The NPI number for Marissa Mack is 1114723970. It was assigned to this individual provider in the NPPES registry on February 21, 2025.

Where is Marissa Mack located?

Marissa Mack practices at 1558 E Boulevard Ste A, Kokomo, IN 46902. The listed phone number is (765) 252-0530.

What is Marissa Mack's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

What insurance does Marissa Mack accept?

Health plans from CareSource list Marissa Mack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marissa Mack was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.