Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1659947042 Individual Practitioner Female Practitioner

Karissa Glenn

Behavior Analyst • Mesa, AZ

Professional Overview & Biography Verified Profile Summary

Karissa Glenn is a registered healthcare professional specializing in Behavior Analyst in Mesa, AZ. Practice services are available at 4121 E VALLEY AUTO DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4121 E Valley Auto Dr

Mesa, AZ 852064631

Telephone 4804744173
Associated Practice Facility / Clinic
🏢 Blue Streak Investments Llc Facility NPI 1831134550

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Mesa, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.8 Yrs
Regional Practice Density
158 Specialists

Practicing in Mesa, AZ (1778 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-08-25
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License AZ 1-21-49007

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.

Secondary Practice Locations

1525 S Higley Rd Ste 104

Gilbert, AZ 852965045

Phone: 4802502062

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners
Katrina Lujan

Specialist/Technologist - Speech-Language Assistant

NPI 1093313256
Michael Simmons , MS, OTR, L

Occupational Therapist

NPI 1093339731

Master of Science, Occupational Therapist Registered, L

Colleen Flanagan

Behavior Technician

NPI 1114534450
Hillary Dorner

Behavior Technician

NPI 1154967073
NPI 1245787936

Music Therapist - Board Certified

Jennifer Barton

Behavior Technician

NPI 1306478300

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location August 25, 2024

Registered at 4121 E VALLEY AUTO DR, MESA, AZ 852064631 (Tel: 4804744173)

📍
Updated Business Mailing Address August 25, 2024

Registered at 4140 E TORREY PINES LN, CHANDLER, AZ 852494567 (Tel: 8475046172)

NPI Profile Active May 27, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location May 27, 2021

Registered at 2451 E BASELINE RD STE 420, GILBERT, AZ 852342472 (Tel: 4804744173)

📍
Updated Business Mailing Address May 27, 2021

Registered at 993 E WIMPOLE AVE, GILBERT, AZ 852971947 (Tel: 8475046172)

👤
Provider Name / Credentials Updated May 27, 2021

Recorded as KARISSA GLENN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2021

Behavior Analyst (License #1-21-49007 in AZ)

🟢
Initial NPI Registration & Enumeration May 27, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1659947042
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 27, 2021
Last Update: August 25, 2024
Sole Proprietor: No

Mailing Address

4140 E Torrey Pines Ln

Chandler, AZ 852494567

Phone: 8475046172

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.