Active NPI
Marisa Breanna Sterry, RBT
- Behavior Analyst
- Port Orchard, WA
National Provider Identifier
1063081727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- RBT-21-167401
- Practice address
- 13765 Vintage Dr SW
Port Orchard, WA 98367-7391 - Phone
- (352) 233-3484
- NPI assigned
- Jun 17, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | RBT-21-167401 | WA | Primary |
Addresses
Primary practice location
13765 Vintage Dr SW
Port Orchard, WA 98367-7391
Mailing address
13765 Vintage Dr SW
Port Orchard, WA 98367-7391
Other practice location 1
4417 Corporation Ln Ste 350
Virginia Beach, VA 23462-3162
Phone (757) 760-3163
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-21-167401 | WA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1063081727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13765 VINTAGE DR SW",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983677391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13765 VINTAGE DR SW",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983677391",
"telephone_number": "352-233-3484"
}
],
"practiceLocations": [
{
"address_1": "4417 Corporation Ln Ste 350",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "234623162",
"country_code": "US",
"telephone_number": "757-760-3163",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STERRY",
"first_name": "MARISA",
"middle_name": "BREANNA",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-17",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WA",
"license": "RBT-21-167401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Orchard, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.