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Active NPI 1205569167 Individual Practitioner Female Practitioner

Marissa Danielle Keller , BCBA

Behavior Analyst • Shamokin Dam, PA

Professional Overview & Biography Verified Profile Summary

Marissa Keller, BCBA is a registered healthcare professional specializing in Behavior Analyst in Shamokin Dam, PA. Practice services are available at 45 ROUTE 11 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

45 Route 11

Shamokin Dam, PA 178769116

Telephone 5709313849
Associated Practice Facility / Clinic
🏢 Mission Autism Clinics Llc Facility NPI 1538790720

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Shamokin Dam, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
7 Specialists

Practicing in Shamokin Dam, PA (3800 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: 2022-06-28
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License PA BH003476

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

22 Associated Practitioners
Erik Velasquez

Behavior Technician

NPI 1013655406
Jessica Hoover

Behavior Technician

NPI 1093537599
Breana Lowry

Behavior Technician

NPI 1134981608
Gwen Anderson

Behavior Technician

NPI 1144061391
Isabella Newman

Behavior Technician

NPI 1215792668
Britney Toborg

Behavior Technician

NPI 1285490391

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 07, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location July 07, 2022

Registered at 45 ROUTE 11, SHAMOKIN DAM, PA 178769116 (Tel: 5709313849)

📍
Updated Business Mailing Address July 07, 2022

Registered at 9 BANKS AVE, MCADOO, PA 182372508 (Tel: 8887264774)

👤
Provider Name / Credentials Updated July 07, 2022

Recorded as MARISSA KELLER, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2022

Behavior Analyst (License #BH003476 in PA)

🟢
Initial NPI Registration & Enumeration July 07, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1205569167
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2022
Last Update: July 07, 2022
Sole Proprietor: No

Mailing Address

9 Banks Ave

Mcadoo, PA 182372508

Phone: 8887264774

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.