Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396473310 Individual Practitioner Female Practitioner

Marisa Burnham

Behavior Analyst • Lilburn, GA

Professional Overview & Biography Verified Profile Summary

Marisa Burnham is a registered healthcare professional specializing in Behavior Analyst in Lilburn, GA. Practice services are available at 3993 LAWRENCEVILLE HWY NW STE 110 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3993 Lawrenceville Hwy Nw Ste 110

Lilburn, GA 300472831

Telephone 4044075224
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Lilburn, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
12 Specialists

Practicing in Lilburn, GA (2715 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: 2025-10-09
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
003327367A (GA)

Secondary Practice Locations

7108 S Kanner Hwy

Stuart, FL 349977462

Phone: 8558326727

Practice Associates & Co-Workers

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

24 Associated Practitioners
Juliette Bodie

Behavior Technician

NPI 1013684489
Jacorey Wilder

Behavior Technician

NPI 1063184166
Jatavius Ponder

Behavior Technician

NPI 1063375251
Nipa Parikh

Behavior Technician

NPI 1073407664
Faith Stanley , RBT

Behavior Technician

NPI 1114878766

Registered Behavior Technician

Jerica Hicks

Behavior Technician

NPI 1285590349

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location October 09, 2025

Registered at 3993 LAWRENCEVILLE HWY NW STE 110, LILBURN, GA 300472831 (Tel: 4044075224)

📍
Updated Practice Location November 08, 2023

Registered at 7108 S KANNER HWY, STUART, FL 349977462 (Tel: 8558326727)

📍
Updated Business Mailing Address November 08, 2023

Registered at 7108 S KANNER HWY, STUART, FL 349977462 (Tel: 8558326727)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2023

Behavior Analyst

NPI Profile Active August 09, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location August 09, 2022

Registered at 250 NW 76TH DR, GAINESVILLE, FL 326076668 (Tel: 3525056363)

📍
Updated Business Mailing Address August 09, 2022

Registered at 250 NW 76TH DR, GAINESVILLE, FL 326076668 (Tel: 3525056363)

👤
Provider Name / Credentials Updated August 09, 2022

Recorded as MARISA BURNHAM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2022

Behavior Technician

🟢
Initial NPI Registration & Enumeration August 09, 2022

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: 1396473310
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2022
Last Update: October 09, 2025
Sole Proprietor: No

Mailing Address

7108 S Kanner Hwy

Stuart, FL 349977462

Phone: 8558326727

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.