Marissa Jeree Sebastian, BS,BA,CC

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

102 W Clipper St
Kennett, MO 63857-1910

Phone

(573) 559-6404

NPI assigned

Oct 24, 2016

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

Other names 1

• Marissa Reed Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts, Bachelor of Science

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1578014684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W CLIPPER ST",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638571910",
            "telephone_number": "573-559-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W CLIPPER ST",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638571910",
            "telephone_number": "573-559-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBASTIAN",
        "first_name": "MARISSA",
        "middle_name": "JEREE",
        "credential": "BS,BA,CC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "REED",
            "credential": "BA,BS,CC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hannah Schremp
• Peggy Lee Schuler, PA-C
• Tina Marie Scott-Barnes, A.A.
• Donna J. Seal, LCSW
• Ethan Matthew Seats
• Jennifer R Sellman, D.O.
• Semo Drug of Kennett
• Semo Drugs of Kennett Inc
• Semo Medical Equipment LLC
• Karl Erik Shanstrom, DO

• Behavior Technician in Kennett, MO
• Providers in Kennett, MO by specialty
• Behavior Technician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.