Marissa Hollabaugh, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-48389

Practice address

209 W Lancaster Ave
Paoli, PA 19301-1749

Phone

(484) 965-9966

NPI assigned

Feb 18, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Aba2Day Behavior Services, LLC

  • Behavior Analyst
  • Newtown Square, PA
  • NPI 1700192234
  NPD (past)

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1629601752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W LANCASTER AVE",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W LANCASTER AVE",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011749",
            "telephone_number": "484-965-9966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "606 E Baltimore Pike Fl 2",
            "address_purpose": "LOCATION",
            "city": "Media",
            "state": "PA",
            "postal_code": "190631751",
            "country_code": "US",
            "telephone_number": "610-864-7376",
            "fax_number": "877-599-3340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLABAUGH",
        "first_name": "MARISSA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "PA",
            "license": "RBT-19-85237",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-21-48389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan M Hinkel, MSS, LCSW
• Eileen K. Hires, MS
• Michel C Hoessly, MD
• Jennifer Jackson Holden, PSY.D.
• Steven Holefelder, OTR/L
• Colleen Hollis
• Marie T. Homa-Palladino, O.D.
• Home Care Health Specialists LLC
• Susan Hopewell, MSS
• Kevin Horan, MD

• Behavior Analyst in Paoli, PA
• Providers in Paoli, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.