Mariah Mazzariello

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1411 Princess Anne Stree
Fredericksburg, VA 22401

Phone

(540) 922-1110

NPI assigned

Dec 29, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ray Beyond Behavioral Corp

  dba Surpass Behavioral Health

  • Community/Behavioral Health Agency
  • Bentonville, AR
  • NPI 1417660655
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1514505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1003323056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 WALES DR APT 201",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521537",
            "telephone_number": "845-664-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 PRINCESS ANNE STREE",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22401",
            "telephone_number": "540-922-1110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1411 Princess Anne Street",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "22401",
            "country_code": "US",
            "telephone_number": "540-922-1110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZZARIELLO",
        "first_name": "MARIAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Bakke Mayer, LPC, LMFT
• Shannon Mayer, FNP-BC
• Jonathan Derrick Mays
• Heather L. Mazey, MS, CSAC, LPC-R(VA)
• Momina Mazhar, MD
• Jeffrey Thomas Mazzone, MA, LPC, MA
• Jenna Beth McAllister, M.D.
• Michael J McArtor, D.D.S.
• Christina Leigh McBride
• Kellie McCall, MA

• Behavior Technician in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Behavior Technician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.