Marissa Gaut, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

LBA0669 Issued in NV

Practice address

871 Coronado Center Dr Ste 200
Henderson, NV 89052-3977

Phone

(855) 832-6727

NPI assigned

Dec 14, 2017

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

State licenses

Practice roles

Locations

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.

• Autism Care West LLC

  • Behavior Analyst
  • Las Vegas, NV
  • NPI 1578803623
  NPD

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

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1386150233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 HORIZON SUNSET DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232437",
            "telephone_number": "702-918-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 CORONADO CENTER DR STE 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523977",
            "telephone_number": "855-832-6727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2075 E Windmill Lane",
            "address_2": "Ste. 150",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "89123",
            "country_code": "US",
            "telephone_number": "702-326-5996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAUT",
        "first_name": "MARISSA",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-14",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "LBA0669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imani M Gates
• Gunner Gatlin
• Robert A Gatlin, MD
• Codi Gauci
• Tim Gauci
• Gautham Gummadi Reddy MD Limited
• Nancy Tran Phan Gauthier, OD
• Bindu Gaye
• Cynthia Nichol Gaytan, M.A, CPHW,SW,PHN
• Guadalupe Gaytan, DOTL/R

• Behavior Analyst in Henderson, NV
• Providers in Henderson, NV by specialty
• Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.

Verify at the official NPI Registry.