Individual provider Active NPI

Marisa N Gruber, BCBA, LBA

  • Behavior Analyst
  • Riverdale, MD
National Provider Identifier
1619647682
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA114 Issued in MD
Practice address
5825 University Research CT Ste 2000
Riverdale, MD 20737-0019
Phone
(240) 923-4944
NPI assigned
Sep 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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 LBA114 MD Primary

Addresses

Primary practice location

5825 University Research CT Ste 2000
Riverdale, MD 20737-0019

Mailing address

11522 Deborah Dr
Potomac, MD 20854-3707
Phone (248) 990-4080

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
LBA114MDMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Beltway ABA Behavior Analyst Current Accepting new patients
Autastic ABA Therapy PastSince Sep 28, 2021 Accepting new patients

Locations

5825 University Research Ct
Ste 2000
Riverdale, MD 20737
Phone (240) 923-4944

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1619647682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11522 DEBORAH DR",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543707",
            "telephone_number": "248-990-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 UNIVERSITY RESEARCH CT STE 2000",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207370019",
            "telephone_number": "240-923-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBER",
        "first_name": "MARISA",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-20",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MD",
            "license": "LBA114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.