Jessica Ann Marrero, MSED, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

001202-1 Issued in NY

Practice address

460 Midland Ave
Staten Island, NY 10306-5104

Phone

(917) 589-6849

NPI assigned

May 17, 2013

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": "1368748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1174969075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SHERIDAN PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103123619",
            "telephone_number": "917-589-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 MIDLAND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103065104",
            "telephone_number": "917-589-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "MSED, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-17",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "001202-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Nicole Marra
• Irina Marra
• Marraccini & Crispino Podiatric LLP
• J Marraccini
• Denise Marrero, LMSW
• Angela Marie Marrone
• Melanie Marrone, R.N.
• Earl R Marrow, DDS
• Emily Marsala
• Sheelove Nancy Eraldime Marseille Erasme

• Behavior Analyst in Staten Island, NY
• Providers in Staten Island, 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 Aug 21, 2019; 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.