Jeremy Robert Marasek

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-21-171257 Issued in TX

Practice address

2205 Williams Trace Blvd Ste 101
Sugar Land, TX 77478-4443

Phone

(855) 782-7822

NPI assigned

Aug 12, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1710652649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 WILLIAMS TRACE BLVD STE 101",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784443",
            "telephone_number": "855-782-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 WILLIAMS TRACE BLVD STE 101",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784443",
            "telephone_number": "855-782-7822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARASEK",
        "first_name": "JEREMY",
        "middle_name": "ROBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT-21-171257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mantis Medical PLLC
• Vasudha Mantravadi, MD
• Varos Victer Manukyan, DO
• Sethunya Manyuna
• Robert C Mao, M.D.
• Marathe PM&R PLLC
• Jose Marcano, SA-C
• Marinellys Marcano Sr., SURGICAL ASSISTANT
• Shamim Maredia-Dhuka, RPH
• Ruhi H Maredia, MD

• Behavior Technician in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.