Active NPI
Marissa Perri Geraghty, BCBA
- Behavior Analyst
- Lake Mary, FL
National Provider Identifier
1194241059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-22-62247
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022049000 | Medicaid | FL |
Other names 1
- Marissa Perri
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 |
|---|---|---|---|
| Oca Opportunity Community Ability Inc | Behavior Analyst | Past | Accepting new patients |
| Amazing Gains Behavior Therapy Services LLC | Past | Accepting new patients | |
| Life Concepts Inc | Past | 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.
-
- Early Intervention Provider Agency
- Orlando, FL
- NPI 1518488212
-
- Developmentally Disabled Services Day Training Agency
- Orlando, FL
- NPI 1790824407
-
- Community/Behavioral Health Agency
- Orlando, FL
- NPI 1952767048
Behavior Analyst
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.