Brandon Marsicek

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

61079809 Issued in WA

Practice address

419 NE 71St St Apt 407
Seattle, WA 98115

Phone

(906) 295-0949

NPI assigned

Jul 27, 2016

Reactivated

Jul 3, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1295288181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 NE 71ST ST APT 407",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155876",
            "telephone_number": "906-295-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 NE 71ST ST APT 407",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98115",
            "telephone_number": "906-295-0949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20818 44th Ave W",
            "address_2": "Ste 270",
            "address_purpose": "LOCATION",
            "city": "Lynnwood",
            "state": "WA",
            "postal_code": "980367709",
            "country_code": "US",
            "telephone_number": "425-712-0802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSICEK",
        "first_name": "BRANDON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-27",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "deactivation_date": "2018-01-23",
        "reactivation_date": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CG60675292",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "WA",
            "license": "AB60967560",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "61079809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie Marshall, PA-C
• Susan G. Marshall, MD
• Heather Susan Marshburn-Eliason, RD
• Marqueena Marshburn
• E. Bruce Marshlain, R.PH.
• Paula Marsland
• Cory L Marston, ARNP
• Therese M Martaus, ARNP
• Kenneth Martay
• Jesse Martel

• Behavior Analyst in Seattle, WA
• Providers in Seattle, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.