Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1326699646 Individual Practitioner Female Practitioner

Marissa Ann Brandon , BCBA

Behavior Analyst • Georgetown, KY

Professional Overview & Biography Verified Profile Summary

Marissa Brandon, BCBA is a registered healthcare professional specializing in Behavior Analyst in Georgetown, KY. Practice services are available at 105 WINDSOR PATH STE 1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

105 Windsor Path Ste 1

Georgetown, KY 403249819

Telephone 8593603006
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Georgetown, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 2.7 Yrs
Regional Practice Density
15 Specialists

Practicing in Georgetown, KY (784 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: 2024-09-03
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License KY 279522

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

Commercial Insurance / Payer ID Bcba Credential
1-22-60521 (KY)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Amy Jo Blair , BCBA

Behavior Analyst

NPI 1023667284

Board Certified Behavior Analyst

Bryson Keller

Behavior Analyst

NPI 1023684792
Kristen Danks , BCBA

Behavior Analyst

NPI 1033712088

Board Certified Behavior Analyst

Felicita Quinones

Social Worker - Clinical

NPI 1063283695
Jennifer Knuckles

Social Worker - Clinical

NPI 1083248827
NPI 1104491299

Master of Arts, Board Certified Behavior Analyst, Licensed Behavior Analyst

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Business Mailing Address September 03, 2024

Registered at 103 WINDSOR PATH STE 2, GEORGETOWN, KY 403249819 (Tel: 8597571022)

👤
Provider Name / Credentials Updated September 03, 2024

Recorded as MARISSA BRANDON, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2024

Behavior Analyst (License #279522 in KY)

📍
Updated Practice Location May 20, 2021

Registered at 105 WINDSOR PATH STE 1, GEORGETOWN, KY 403249819 (Tel: 8593603006)

📍
Updated Business Mailing Address May 20, 2021

Registered at 105 WINDSOR PATH STE 1, GEORGETOWN, KY 403249819 (Tel: 8593603006)

👤
Provider Name / Credentials Updated May 20, 2021

Recorded as MARISSA THOMPSON, RBT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2021

Technician, Other

NPI Profile Active September 27, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location September 27, 2019

Registered at 355 QUARTERMASTER CT, JEFFERSONVILLE, IN 471303670 (Tel: 8122589802)

📍
Updated Business Mailing Address September 27, 2019

Registered at 3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 462686135 (Tel: 8553240885)

👤
Provider Name / Credentials Updated September 27, 2019

Recorded as MARISSA THOMPSON, BA, RBT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2019

Behavior Analyst (License #RBT-19-99485 in IN)

🟢
Initial NPI Registration & Enumeration September 27, 2019

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: 1326699646
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2019
Last Update: September 03, 2024
Sole Proprietor: No

Mailing Address

103 Windsor Path Ste 2

Georgetown, KY 403249819

Phone: 8597571022

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.