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MARISSA BALLARD BCBA
NPI 1275035461
Behavior Analyst in San Jose, CA

Active since March 02, 2018
1101 S WINCHESTER BLVD STE N-260, SAN JOSE, CA 95128(408) 689-4900 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 11, 2023, Mar 2, 2018 (2 updates tracked since 2018).

About Marissa Ballard Bcba NPPES

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

MARISSA BALLARD BCBA (NPI 1275035461) is an individual behavior analyst provider in San Jose, California, licensed in California (1-20-45026) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1275035461
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameMARISSA BALLARDCredential: BCBA
Location Address1101 S WINCHESTER BLVD STE N-260San Jose, CA 95128-3901
Mailing Address2730 Shadelands DrWalnut Creek, CA 94598-2538
Phone(408) 689-4900
Sole ProprietorNo
Enumeration DateMarch 2, 2018
Last NPPES UpdateApril 11, 20232 updates tracked since enumeration
NPPES CertifiedMarch 1, 2023
✔ NPI 1275035461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Licenses✔ Licensed in CA · 1-20-45026✔ Licensed in CA · RBT-17-40555
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.
1101 S WINCHESTER BLVD STE N-260, San Jose, CA 95128
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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.

KATIA GONZALEZ
Behavior Technician
1101 S WINCHESTER BLVD STE N-260
SAN JOSE, CA 95128
Santa Clara County (408) 689-4900
MR. THIEN NGUYEN
Behavior Technician
1101 S WINCHESTER BLVD STE N-260
SAN JOSE, CA 95128
Santa Clara County No phone listed
VANESA BEDREGAL BARBOZA
Behavior Technician
1101 S WINCHESTER BLVD STE N-260
SAN JOSE, CA 95128
Santa Clara County (408) 689-4900
KEVIN PHAM
Behavior Technician
1101 S WINCHESTER BLVD STE N-260
SAN JOSE, CA 95128
Santa Clara County (408) 689-4900
NATHALEA NARIO
Behavior Technician
1101 S WINCHESTER BLVD STE N-260
SAN JOSE, CA 95128
Santa Clara County (408) 568-3226
MARIA JOSEFINA MORAN
Behavior Technician
1101 S WINCHESTER BLVD STE N-260
SAN JOSE, CA 95128
Santa Clara County (408) 689-4900
BRIAN BALUYOT
Behavior Technician
1101 S WINCHESTER BLVD STE N-260
SAN JOSE, CA 95128
Santa Clara County (408) 689-4900
DENICE PLEMEL
Behavior Technician
1101 S WINCHESTER BLVD STE N-260
SAN JOSE, CA 95128
Santa Clara County (408) 689-4900

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 Ballard's NPI number?

The NPI number for Marissa Ballard is 1275035461. It was assigned to this individual provider in the NPPES registry on March 2, 2018.

Where is Marissa Ballard located?

Marissa Ballard practices at 1101 S Winchester Blvd Ste N-260, San Jose, CA 95128. The listed phone number is (408) 689-4900.

What is Marissa Ballard'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 Ballard was last updated on April 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.