Active NPI
Marissa Dinuzzo
- Behavior Analyst
- St Charles, IL
National Provider Identifier
1770081044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-26-2831018
- Practice address
- 2422 W Main St Unit 3C
St Charles, IL 60175-1010 - Phone
- (855) 444-5664
- NPI assigned
- Jan 31, 2018
- 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 | 1-26-2831018 | IL | Primary |
Addresses
Primary practice location
2422 W Main St Unit 3C
St Charles, IL 60175-1010
Mailing address
2422 W Main St Unit 3C
St Charles, IL 60175-1010
Phone (855) 444-5664
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1770081044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2422 W MAIN ST UNIT 3C",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601751010",
"telephone_number": "855-444-5664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2422 W MAIN ST UNIT 3C",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601751010",
"telephone_number": "855-444-5664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINUZZO",
"first_name": "MARISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-31",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IL",
"license": "1-26-2831018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.