Active NPI
Marissa Ann Slavik, BCBA
- Behavior Analyst
- Marlborough, MA
National Provider Identifier
1184248825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-19-35136
- Practice address
- 225 Cedar Hill St Ste 200
Marlborough, MA 01752-5900 - Phone
- (603) 782-2866
- NPI assigned
- May 28, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-19-35136 | MA | Primary |
Addresses
Primary practice location
225 Cedar Hill St Ste 200
Marlborough, MA 01752-5900
Mailing address
225 Cedar Hill St Ste 200
Marlborough, MA 01752-5900
Phone (603) 782-2866
Other practice location 1
480 Route 6A
East Sandwich, MA 02537-1438
Phone (774) 205-2237
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reach Educational Services, Inc | Behavior Analyst | Current | Accepting new patients |
| Applied Behavioral Programs PC | Past | Accepting new patients |
Locations
480 Route 6A
East Sandwich, MA 02537
Phone (774) 205-2237
Organizations & group practices 2
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.
-
- Behavior Analyst
- East Sandwich, MA
- NPI 1992161699
-
- Professional Counselor
- Brookline, MA
- NPI 1093274086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647820800000",
"number": "1184248825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 CEDAR HILL ST STE 200",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017525900",
"telephone_number": "603-782-2866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 CEDAR HILL ST STE 200",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017525900",
"telephone_number": "603-782-2866"
}
],
"practiceLocations": [
{
"address_1": "480 Route 6A",
"address_purpose": "LOCATION",
"city": "East Sandwich",
"state": "MA",
"postal_code": "025371438",
"country_code": "US",
"telephone_number": "774-205-2237",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SLAVIK",
"first_name": "MARISSA",
"middle_name": "ANN",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-28",
"last_updated": "2022-03-21",
"certification_date": "2022-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "1-19-35136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marlborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.