Active NPI
Nicolas Jordan Marasco, MA, RBT
- Behavior Analyst
- Brandon, FL
National Provider Identifier
1700656261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 220 Grand Regency Blvd
Brandon, FL 33510-3935 - Phone
- (813) 709-7989
- Fax
- (317) 520-8200
- NPI assigned
- Jan 5, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Behavior Technician | 106S00000X | RBT-23-315173 |
Addresses
Primary practice location
220 Grand Regency Blvd
Brandon, FL 33510-3935
Mailing address
9365 Counselors Row Ste 200
Indianapolis, IN 46240-6418
Phone (855) 324-0885
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1700656261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9365 COUNSELORS ROW STE 200",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462406418",
"telephone_number": "855-324-0885",
"fax_number": "317-520-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 GRAND REGENCY BLVD",
"city": "BRANDON",
"state": "FL",
"postal_code": "335103935",
"telephone_number": "813-709-7989",
"fax_number": "317-520-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARASCO",
"first_name": "NICOLAS",
"middle_name": "JORDAN",
"credential": "MA, RBT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-05",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": "RBT-23-315173",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.