Individual provider Active NPI

Marissa Perri Geraghty, BCBA

  • Behavior Analyst
  • Lake Mary, FL
National Provider Identifier
1194241059
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-22-62247 Issued in FL
Practice address
758 N Sun Dr Ste 112
Lake Mary, FL 32746-2599
Phone
(407) 317-5429
Fax
(321) 800-7201
NPI assigned
Aug 22, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X
Behavior Analyst 103K00000X 1-22-62247 FL Primary

Addresses

Primary practice location

758 N Sun Dr Ste 112
Lake Mary, FL 32746-2599

Mailing address

1509 E Colonial Dr Ste 300
Orlando, FL 32803-4729
Phone (407) 317-5429

Other practice location 1

1660 Cheyenne Trl
Maitland, FL 32751-4916
Phone (407) 712-0436

Other practice location 2

7075 N Highway 1
Cocoa, FL 32927-5216
Phone (321) 888-3020

Other practice location 3

644 Ferguson Dr Ste 200
Orlando, FL 32805-1023
Phone (407) 574-4629

Other identifiers 1

IdentifierTypeStateIssuer
022049000MedicaidFL

Other names 1

  • Marissa Perri Professional name

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

OrganizationSpecialtyStatusNew patients
Oca Opportunity Community Ability Inc Behavior Analyst Past Accepting new patients
Amazing Gains Behavior Therapy Services LLC PastSince Dec 1, 2020 Accepting new patients
Life Concepts Inc PastSince Mar 11, 2025 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1194241059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 E COLONIAL DR STE 300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034729",
            "telephone_number": "407-317-5429",
            "fax_number": "321-800-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "758 N SUN DR STE 112",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462599",
            "telephone_number": "407-317-5429",
            "fax_number": "321-800-7201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1660 Cheyenne Trl",
            "address_purpose": "LOCATION",
            "city": "Maitland",
            "state": "FL",
            "postal_code": "327514916",
            "country_code": "US",
            "telephone_number": "407-712-0436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7075 N Highway 1",
            "address_purpose": "LOCATION",
            "city": "Cocoa",
            "state": "FL",
            "postal_code": "329275216",
            "country_code": "US",
            "telephone_number": "321-888-3020",
            "fax_number": "661-263-4584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "644 Ferguson Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328051023",
            "country_code": "US",
            "telephone_number": "407-574-4629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERAGHTY",
        "first_name": "MARISSA",
        "middle_name": "PERRI",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-22",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-22-62247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022049000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "PERRI",
            "credential": "BCBA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.