Marissa Rae Piasecki, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-24-355102 Issued in WI

Practice address

4215 31St Ave S Ste a
Fargo, ND 58104-7743

Phone

(701) 478-0221

NPI assigned

Aug 31, 2024

Last updated

Aug 31, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

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

• Integrated Intervention Specialists, LLC

  • Community/Behavioral Health Agency
  • Fargo, ND
  • NPI 1275194136
  NPD

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

{
    "created_epoch": "1725062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725062400000",
    "number": "1750115630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 17TH ST",
            "city": "MOSINEE",
            "state": "WI",
            "postal_code": "544551031",
            "telephone_number": "715-551-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 31ST AVE S STE A",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047743",
            "telephone_number": "701-478-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIASECKI",
        "first_name": "MARISSA",
        "middle_name": "RAE",
        "name_prefix": "Miss",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-31",
        "last_updated": "2024-08-31",
        "certification_date": "2024-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WI",
            "license": "RBT-24-355102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jelisa Phillippi
• Brenda R Phillips, LAC
• Eden Phillips
• Sandra L Phillips, M. ED
• Phyllis Magelky LTD
• Bruce E Piatt, MD
• Payton Piatz, DNP, FNP
• Dori Anne Picard, RN
• Brittany Gayle Pickard
• Tiffany Amber Pickard, APRN, CNP

• Behavior Technician in Fargo, ND
• Providers in Fargo, ND by specialty
• Behavior Technician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2024; 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.