Marissa Pascascio-Glenn, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

LBA877 Issued in MD

Practice address

951 Manorgreen Rd
Middle River, MD 21220-2436

Phone

(347) 653-5418

NPI assigned

Feb 23, 2018

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

Electronic endpoints 1

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.

• Blue Gems ABA MD LLC

  • Behavior Analyst
  • Columbia, MD
  • NPI 1285206037
  NPD (past)

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1144721333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 MANORGREEN RD",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202436",
            "telephone_number": "347-653-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 MANORGREEN RD",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202436",
            "telephone_number": "347-653-5418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCASCIO-GLENN",
        "first_name": "MARISSA",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-23",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MD",
            "license": "LBA877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "marissapascascio-glenn@withinmetherapy.com",
            "affiliation": "N",
            "address_1": "8128 Mandan Ter",
            "city": "Greenbelt",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207702638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Linda Asempa Osei-Tutu, PHARMD
• Leena Owen
• Jenna M Page, M.ED., ATC
• Rubab Ruby Panju-Merali, FNP
• Patrice Parms
• Briana Yashvant Patel, DC
• Ritesh D Patel, MD
• Kimberly Paul, CPRP
• Erica L Payne, PHD
• Peace of Mind Support Services Inc.

• Behavior Analyst in Middle River, MD
• Providers in Middle River, MD by specialty
• Behavior Analyst in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.