Organization Active NPI

Marina Autism Services LLC

  • Behavior Analyst
  • San Diego, CA
National Provider Identifier
1164156121
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MARINA AUTISM SERVICES LLC
Practice address
9920 Pacific Heights Blvd Ste 150
San Diego, CA 92121-4361
Phone
(615) 861-9786
NPI assigned
Jul 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Yosef Schuck
Title
Owner
Phone
(917) 809-9259

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X

Addresses

Primary practice location

9920 Pacific Heights Blvd Ste 150
San Diego, CA 92121-4361

Mailing address

9920 Pacific Heights Blvd Ste 150
San Diego, CA 92121-4361
Phone (917) 809-9259

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1164156121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9920 PACIFIC HEIGHTS BLVD STE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214361",
            "telephone_number": "917-809-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 PACIFIC HEIGHTS BLVD STE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214361",
            "telephone_number": "615-861-9786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINA AUTISM SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-14",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "SCHUCK",
        "authorized_official_first_name": "YOSEF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-809-9259"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.