MRS. KELLY MELISSA MARCINIAK
NPI 1831734235
Behavior Technician in Middle River, MD

Active since November 10, 2019PECOS Enrolled
4 CHELMSFORD CT, MIDDLE RIVER, MD 21220(443) 838-8636 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 3, 2026, Nov 10, 2019 (2 updates tracked since 2019).

About Mrs. Kelly Melissa Marciniak NPPES

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

MRS. KELLY MELISSA MARCINIAK (NPI 1831734235) is an individual behavior technician in Middle River, Maryland, licensed in Maryland (RBT-19-105378) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1831734235
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameMRS. KELLY MELISSA MARCINIAK
Location Address4 CHELMSFORD CTMiddle River, MD 21220-3672
Mailing Address4 Chelmsford CtMiddle River, MD 21220-3672 · (443) 838-8636
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 10, 2019
Last NPPES UpdateMarch 3, 20262 updates tracked since enumeration
NPPES CertifiedMarch 3, 2026
NPI 1831734235 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 in MD · RBT-19-105378
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.
4 CHELMSFORD CT, Middle River, MD 21220

Other Names 1

Former Name (1)Mrs. Kelly Melissa Dotterweich

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Kelly Melissa Marciniak is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264911148
PECOS Enrollment IDI20260210004253
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Kelly Marciniak's NPI number?

The NPI number for Kelly Marciniak is 1831734235. It was assigned to this individual provider in the NPPES registry on November 10, 2019. The provider is also known as Mrs. Kelly Melissa Dotterweich.

Where is Kelly Marciniak located?

Kelly Marciniak practices at 4 Chelmsford Ct, Middle River, MD 21220. The listed phone number is (443) 838-8636.

What is Kelly Marciniak's specialty?

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

Is Kelly Marciniak enrolled in Medicare?

Yes. Kelly Marciniak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Marciniak was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.