Individual provider Active NPI

Marisa Elaine McKee, BCBA

  • Behavior Analyst
  • Mequon, WI
National Provider Identifier
1194369751
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
326-140 Issued in WI
Practice address
8239 W Hillview Dr
Mequon, WI 53097-3205
Phone
(402) 319-3770
NPI assigned
Nov 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 326-140 WI Primary

Addresses

Primary practice location

8239 W Hillview Dr
Mequon, WI 53097-3205

Mailing address

8239 W Hillview Dr
Mequon, WI 53097-3205
Phone (402) 319-3770

Other practice location 1

6140 W Executive Dr Ste B
Mequon, WI 53092-4499
Phone (888) 754-0398

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

State licenses

LicenseStateTypeSpecialty
326-140WIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Language Acquisition and Social Skills Intervention, LLC Behavior Analyst PastSince Mar 1, 2020 Accepting new patients
Mindcolor Autism LLC Behavior Analyst Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1194369751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8239 W HILLVIEW DR",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530973205",
            "telephone_number": "402-319-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8239 W HILLVIEW DR",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530973205",
            "telephone_number": "402-319-3770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6140 W Executive Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Mequon",
            "state": "WI",
            "postal_code": "530924499",
            "country_code": "US",
            "telephone_number": "888-754-0398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKEE",
        "first_name": "MARISA",
        "middle_name": "ELAINE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WI",
            "license": "326-140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mequon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.