Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699456079 Individual Practitioner Male Practitioner

Marshall Gavin Chisholm , BA, RBAI

Behavior Technician • Encino, CA

Professional Overview & Biography Verified Profile Summary

Marshall Chisholm, BA, RBAI is a registered healthcare professional specializing in Behavior Technician in Encino, CA. Practice services are available at 5435 BALBOA BLVD STE 202 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5435 Balboa Blvd Ste 202

Encino, CA 913161570

Telephone 3109334499
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Encino, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
593 Specialists

Practicing in Encino, CA (172337 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: 2023-07-27
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

State License OR ABA-IN-10234166

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Brooke Dearman

Behavior Technician

NPI 1003743170
Travis Von Keller

Behavior Analyst

NPI 1023516507
NPI 1023774957

Master of Science, Board Certified Behavior Analyst

Emily Tierman

Behavior Analyst

NPI 1093270902
Valerie Castaneda

Behavior Analyst

NPI 1104470954
Kyle Davis , BCBA

Behavior Analyst

NPI 1114492501

Board Certified Behavior Analyst

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 27, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location July 27, 2023

Registered at 5435 BALBOA BLVD STE 202, ENCINO, CA 913161570 (Tel: 3109334499)

📍
Updated Business Mailing Address July 27, 2023

Registered at 1827 NE 44TH AVE STE 390, PORTLAND, OR 972131461 (Tel: 5039636494)

👤
Provider Name / Credentials Updated July 27, 2023

Recorded as MARSHALL CHISHOLM, BA, RBAI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2023

Behavior Technician (License #ABA-IN-10234166 in OR)

🟢
Initial NPI Registration & Enumeration July 27, 2023

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: 1699456079
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2023
Last Update: July 27, 2023
Sole Proprietor: No

Mailing Address

1827 Ne 44th Ave Ste 390

Portland, OR 972131461

Phone: 5039636494

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.