Marisa Lee Thode, BCBA,LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-63698 Issued in VA

Practice address

1108 Eden Way N
Chesapeake, VA 23320-3339

Phone

(219) 902-0013

NPI assigned

Apr 21, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Treasured Hearts ABA LLC

  • Behavior Analyst
  • Chesapeake, VA
  • NPI 1841888047
  NPD (past)

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681603200000",
    "number": "1104408012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 HOOF CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234538550",
            "telephone_number": "219-902-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 EDEN WAY N",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203339",
            "telephone_number": "219-902-0013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12512 Sherwood Forest Dr",
            "address_purpose": "LOCATION",
            "city": "Culpeper",
            "state": "VA",
            "postal_code": "227011663",
            "country_code": "US",
            "telephone_number": "703-596-9332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THODE",
        "first_name": "MARISA",
        "middle_name": "LEE",
        "credential": "BCBA,LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-21",
        "last_updated": "2023-04-16",
        "certification_date": "2023-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "VA",
            "license": "21162116",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "1-23-63698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Mule Group LLC
• The Ronnie D. Joyner Ministries, Inc.
• The Spirit of Marriage
• The Therapy Garden and Wellness Services, PLLC
• Therapeutic Intervention Services, Inc
• Thomas L. Mauser, Inc.
• Thomas R. Cheezum, O.D., LTD
• Thomas W Montag MD PLC
• Thomas Woodard DDS PC
• Sonya Lucille Thomas-Webb, DDS

• Behavior Analyst in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2023; 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.