Individual provider Active NPI

Marleah Kaitlyn Fossett, BCBA

  • Behavior Analyst
  • Mesa, AZ
National Provider Identifier
1407518327
Registry record updated Apr 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-25-79780 Issued in IN
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

Updated by the provider on Apr 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.