Rachel Elizabeth Marciano

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-66712 Issued in NY

Practice address

6 N Main St
Fairport, NY 14450-1524

Phone

(585) 377-6590

NPI assigned

Nov 17, 2022

Reactivated

Jul 24, 2023

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

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1144939265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 OXNARD ST STE 1800",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677807",
            "telephone_number": "183-452-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 N MAIN ST",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144501524",
            "telephone_number": "585-377-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCIANO",
        "first_name": "RACHEL",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-17",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "deactivation_date": "2023-07-11",
        "reactivation_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NY",
            "license": "00014916",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "1-23-66712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirstyn Ann Manning, SLP
• Denise A Mantione, CCC-SLP
• Martha Manz, OTR/L
• Alysa Marie Mapes, RN
• Kendra L. Marasco, NYSLIC. SLP,AUDIOLOG
• Christina P Marletta, PHARMD
• Debra J Marshall
• Katrina Mackenzie Martin, MS-CCL/SLP
• Izabelle Ariannah Martinez
• Mary Ann Panara DDS and Jeffrey P Panara DDS

• Behavior Analyst in Fairport, NY
• Providers in Fairport, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.