Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1275035461 Individual Practitioner Female Practitioner

Marissa Ballard , BCBA

Behavior Analyst • San Jose, CA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Marissa Ballard, BCBA is a registered healthcare professional specializing in Behavior Analyst in San Jose, CA. Official NPI practice address is registered at 1101 S WINCHESTER BLVD STE N-260.

Practice Location & Contact Primary Location

Practice Address

1101 S Winchester Blvd Ste N-260

San Jose, CA 951283901

Telephone 4086894900

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in San Jose, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.8 Yrs
Regional Practice Density
397 Specialists

Practicing in San Jose, CA (20508 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: 2023-03-01
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License CA 1-20-45026

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.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

State License CA RBT-17-40555

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.

Practice Associates & Co-Workers

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

35 Associated Practitioners
Eva Calloway

Behavior Technician

NPI 1124591722
Karla Dajano

Behavior Technician

NPI 1124593520
Josefina Olvera Garcia

Behavior Technician

NPI 1144705476
Ailan Nguyen

Behavior Technician

NPI 1144880857
Katia Gonzalez

Behavior Technician

NPI 1154168466
Vanesa Bedregal Barboza

Behavior Technician

NPI 1184191892

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location April 11, 2023

Registered at 1101 S WINCHESTER BLVD STE N-260, SAN JOSE, CA 951283901 (Tel: 4086894900)

📍
Updated Business Mailing Address April 11, 2023

Registered at 2730 SHADELANDS DR, WALNUT CREEK, CA 945982538

👤
Provider Name / Credentials Updated April 11, 2023

Recorded as MARISSA BALLARD, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2023

Behavior Analyst (License #1-20-45026 in CA)

NPI Profile Active March 02, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 02, 2018

Registered at 1900 EMBARCADERO STE 310, OAKLAND, CA 946065227 (Tel: 5108324383)

📍
Updated Business Mailing Address March 02, 2018

Registered at 1900 EMBARCADERO STE 310, OAKLAND, CA 946065227 (Tel: 5108324383)

👤
Provider Name / Credentials Updated March 02, 2018

Recorded as MARISSA BALLARD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2018

Behavior Analyst (License #RBT-17-40555 in CA)

🟢
Initial NPI Registration & Enumeration March 02, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275035461
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 02, 2018
Last Update: April 11, 2023
Sole Proprietor: No

Mailing Address

2730 Shadelands Dr

Walnut Creek, CA 945982538

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.