Active NPI
Marisa N Gruber, BCBA, LBA
- Behavior Analyst
- Riverdale, MD
National Provider Identifier
1619647682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- LBA114
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LBA114 | MD | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beltway ABA | Behavior Analyst | Current | Accepting new patients |
| Autastic ABA Therapy | Past | 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.
-
- Behavior Analyst
- Fairfax, VA
- NPI 1285344101
-
- Community/Behavioral Health Agency
- Bowie, MD
- NPI 1356948004
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.