Marissa Balderama

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2025 E Noble Ave
Visalia, CA 93292-1520

Phone

(559) 371-8175

NPI assigned

Feb 22, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1356808612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 S CROWE ST APT 2",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932772172",
            "telephone_number": "559-639-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 E NOBLE AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932921520",
            "telephone_number": "559-371-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDERAMA",
        "first_name": "MARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodney Matthew Baker, CASE MANAGER
• Winetta Baker, , PH.D., LMFT
• Youssef Y Bakhoum, MD
• Navjot Bal, NP
• Nalee Bala
• Cayla Vanessa Balderas
• Emily Balderas
• Evamarie Teresa Balderas, DAT, ATC
• Miguel Balderas
• Avie Gail Baliola-Delacruz

• Behavior Technician in Visalia, CA
• Providers in Visalia, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.