MRS. MARISSA CANNON RBT
NPI 1366140295
Behavior Analyst in Las Vegas, NV

Active since February 20, 2023
304 S JONES BLVD STE 3465, LAS VEGAS, NV 89107(702) 430-7660(702) 430-7660 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 19, 2025, Feb 20, 2023 (2 updates tracked since 2023).

About Mrs. Marissa Cannon Rbt NPPES

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

MRS. MARISSA CANNON RBT (NPI 1366140295) is an individual behavior analyst provider in Las Vegas, Nevada, licensed in Nevada (LBA0956) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1366140295
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameMRS. MARISSA CANNONCredential: RBT
Location Address304 S JONES BLVD STE 3465Las Vegas, NV 89107-2623
Mailing Address3652 Calico Cove CtLas Vegas, NV 89147-6801 · (702) 521-1517 · Fax (702) 430-7660
Fax(702) 430-7660
Sole ProprietorNo
Enumeration DateFebruary 20, 2023
Last NPPES UpdateDecember 19, 20252 updates tracked since enumeration
NPPES CertifiedDecember 19, 2025
NPI 1366140295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License Licensed in NV · LBA0956
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.
304 S JONES BLVD STE 3465, Las Vegas, NV 89107

Other Providers at the Same Location NPPES 5

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

Behavior Technician
304 S JONES BLVD STE 3465
LAS VEGAS, NV 89107
Behavior Analyst
304 S JONES BLVD STE 3465
LAS VEGAS, NV 89107
Behavior Analyst
304 S JONES BLVD STE 3465
LAS VEGAS, NV 89107
Behavior Technician
304 S JONES BLVD STE 3465
LAS VEGAS, NV 89107
Behavior Technician
304 S JONES BLVD STE 3465
LAS VEGAS, NV 89107

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 Cannon's NPI number?

The NPI number for Marissa Cannon is 1366140295. It was assigned to this individual provider in the NPPES registry on February 20, 2023.

Where is Marissa Cannon located?

Marissa Cannon practices at 304 S Jones Blvd Ste 3465, Las Vegas, NV 89107. The listed phone number is (702) 430-7660.

What is Marissa Cannon'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 Cannon was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.