Marissa Monique Cordova

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-24-392961 Issued in CA

Practice address

4880 Market St
Ventura, CA 93003-7783

Phone

(866) 600-7598

NPI assigned

May 19, 2025

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

State licenses

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

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785024000000",
    "number": "1134911852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 DENTON AVE",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917703119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 MARKET ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037783",
            "telephone_number": "866-600-7598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2116 E Villa St",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911072496",
            "country_code": "US",
            "telephone_number": "626-449-2919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORDOVA",
        "first_name": "MARISSA",
        "middle_name": "MONIQUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-19",
        "last_updated": "2026-07-26",
        "certification_date": "2026-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-24-392961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Hoffman Cooper, M.A.
• Colleen Copelan, MD
• Gary P. Coppa, M.D.
• Nicolette Coppola
• Krista Jaylene Cordova
• Core Integration Physical Therapy
• Victoria Rae Cornall
• Andrea Vazquez Cornelio
• Angelia Cornelius
• William Cornell

• Behavior Technician in Ventura, CA
• Providers in Ventura, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.

Verify at the official NPI Registry.