Active NPI
Marleah Kaitlyn Fossett, BCBA
- Behavior Analyst
- Mesa, AZ
National Provider Identifier
1407518327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-25-79780
- Practice address
- 6116 E Arbor Ave BLDG 3
Mesa, AZ 85206-6107 - Phone
- (720) 706-3396
- NPI assigned
- Oct 7, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 1-25-79780 | IN | Primary |
Addresses
Primary practice location
6116 E Arbor Ave BLDG 3
Mesa, AZ 85206-6107
Mailing address
10370 Homestead Dr
Brownsburg, IN 46112-7443
Phone (317) 341-5686
Other practice location 1
7105 Galen Dr W
Avon, IN 46123-8450
Phone (317) 813-4690
Other practice location 2
6704 Central Blvd
Zionsville, IN 46077-7600
Phone (866) 727-8274
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": "1633564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776470400000",
"number": "1407518327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10370 HOMESTEAD DR",
"city": "BROWNSBURG",
"state": "IN",
"postal_code": "461127443",
"telephone_number": "317-341-5686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6116 E ARBOR AVE BLDG 3",
"city": "MESA",
"state": "AZ",
"postal_code": "852066107",
"telephone_number": "720-706-3396"
}
],
"practiceLocations": [
{
"address_1": "7105 Galen Dr W",
"address_purpose": "LOCATION",
"city": "Avon",
"state": "IN",
"postal_code": "461238450",
"country_code": "US",
"telephone_number": "317-813-4690",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6704 Central Blvd",
"address_purpose": "LOCATION",
"city": "Zionsville",
"state": "IN",
"postal_code": "460777600",
"country_code": "US",
"telephone_number": "866-727-8274",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOSSETT",
"first_name": "MARLEAH",
"middle_name": "KAITLYN",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-07",
"last_updated": "2026-04-18",
"certification_date": "2026-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IN",
"license": "1-25-79780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.