Active NPI
Marissa Williams
- Assistant Behavior Analyst
- Irvine, CA
National Provider Identifier
1235776139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- Practice address
- 3652 Michelson Dr
Irvine, CA 92612-1727 - Phone
- (949) 738-0154
- NPI assigned
- Dec 10, 2019
- 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 |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | Primary |
Addresses
Primary practice location
3652 Michelson Dr
Irvine, CA 92612-1727
Mailing address
417 E Tamarack Ave Unit 48
Inglewood, CA 90301-6325
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | marissa@specialneedsnetwork.org | SPECIAL NEEDS NETWORK, INC | |
| Direct Messaging Address | marissa@specialneedsnewtork.org | Direct | SPECIAL NEEDS NETWORK, INC |
| FHIR URL | Missw18@yahoo.com | ||
| Direct Messaging Address | marissw@instepps.com | Health Information Exchange (HIE) | In STEPPS, inc |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727308800000",
"number": "1235776139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 E TAMARACK AVE UNIT 48",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903016325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3652 MICHELSON DR",
"city": "IRVINE",
"state": "CA",
"postal_code": "926121727",
"telephone_number": "949-738-0154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "MARISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-10",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "marissa@specialneedsnetwork.org",
"affiliation": "Y",
"affiliationName": "SPECIAL NEEDS NETWORK, INC",
"address_1": "4401 Crenshaw Blvd Ste 215",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900431200",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "marissa@specialneedsnewtork.org",
"affiliation": "Y",
"affiliationName": "SPECIAL NEEDS NETWORK, INC",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4401 Crenshaw Blvd Ste 215",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900431200",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "Missw18@yahoo.com",
"affiliation": "N",
"address_1": "417 E Tamarack Ave Unit 48",
"city": "Inglewood",
"state": "CA",
"country_code": "US",
"postal_code": "903016325",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "marissw@instepps.com",
"affiliation": "Y",
"affiliationName": "In STEPPS, inc",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "3652 Michelson Dr",
"city": "Irvine",
"state": "CA",
"country_code": "US",
"postal_code": "926121727",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.