Marissa Delores Magdaleno

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

8951 Morro Rd
Atascadero, CA 93422-3984

Phone

(805) 703-2120

NPI assigned

Feb 12, 2018

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

• Ms. Marissa Delores Cano Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 12, 2018.

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518393600000",
    "number": "1144729559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 OXNARD ST",
            "address_2": "STE. 1800",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677807",
            "telephone_number": "818-345-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8951 MORRO RD",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934223984",
            "telephone_number": "805-703-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGDALENO",
        "first_name": "MARISSA",
        "middle_name": "DELORES",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "CANO",
            "middle_name": "DELORES",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christina Lynn Maciel
• Suzanne C Maclelland, PSYD
• Briahnne L Macpherson, PSYD
• Alyson Leigh Madigan, PSYD
• Moira Madsen
• Kathleen Bridget Mahon
• Amanpreet Mangat
• Jessica L Manley
• Joseph Trimble Manning-Dodd, APCC, AMFT
• Ami Kendra Manwaring, LCSW

• All providers in Atascadero, CA
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; 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.