Marissa Palmer, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

10185925 Issued in OR

Practice address

1700 NW 167TH PL Ste 240
Beaverton, OR 97006-4872

Phone

(248) 299-0030

NPI assigned

Aug 7, 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

Other names 1

• Marissa Deane Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1578088043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CONCORD AVE STE 185",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205006",
            "telephone_number": "510-268-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 NW 167TH PL STE 240",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970064872",
            "telephone_number": "248-299-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "MARISSA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OR",
            "license": "10185925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "DEANE",
            "credential": "BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robin Aurora Palmer-Nicks, DC
• Alicia J. Palmer
• Angela Kalene Palmer, N.D.
• Jennifer Marie Palmer
• Justin Palmer
• Todd Nicholas Palumbo, MD
• Panacea Health & Wellness, LLC
• Dimitri Pandelios
• Komal Pandey, MENTAL HEALTH INTERN
• Mohini Pandya, MSPT

• Behavior Analyst in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Behavior Analyst in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.