Individual provider Active NPI

Marissa Noyer, BCBA

  • Behavior Analyst
  • Orange, CA
National Provider Identifier
1427577691
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1427577691 Issued in CA
Practice address
333 City Blvd W FL 17
Orange, CA 92868-5905
Phone
(209) 986-2517
NPI assigned
Sep 19, 2017
Last updated
Jul 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1427577691 CA Primary

Addresses

Primary practice location

333 City Blvd W FL 17
Orange, CA 92868-5905

Mailing address

5762 Bolsa Ave Ste 101
Huntington Beach, CA 92649-1172
Phone (714) 292-2322

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

State licenses

LicenseStateTypeSpecialty
1427577691CAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Love 2 Learn Therapies Inc Behavior Analyst PastSince Jul 1, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1427577691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5762 BOLSA AVE STE 101",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926491172",
            "telephone_number": "714-292-2322",
            "fax_number": "714-866-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CITY BLVD W FL 17",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928685905",
            "telephone_number": "209-986-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOYER",
        "first_name": "MARISSA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-19",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1427577691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.