Marissa Chin

Individual provider Active NPI Behavior Analyst · Belcamp, MD

NPI 1124745369 · NPPES record last updated Nov 13, 2025

Key facts

NPI
1124745369
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
3465 Box Hill Corporate Center Drive
Suite H
Belcamp, MD 21017-1499
Phone
(443) 300-6362
NPI assigned
Oct 27, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Humanim Mental Health Services LLC Behavior Analyst Current
since Dec 13, 2022
Accepting new patients

Locations

1200 Creamery Ln
Belcamp, MD 21017
Phone (443) 300-6362

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X MD Yes

Addresses

Primary practice location

3465 Box Hill Corporate Center Drive
Suite H
Belcamp, MD 21017-1499

Mailing address

3465 Box Hill Corporate Center Dr Ste H
Abingdon, MD 21009-1261

Other providers in Belcamp, MD

All providers in Belcamp, MD · Behavior Analyst in Maryland

Sources for this page

Verify at the official NPI Registry.