Casey Lee Marin, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-13-14088 Issued in NC

Practice address

129 NE 102ND Ave
Suite E
Portland, OR 97220-4102

Phone

(503) 254-6317

Fax

(360) 836-8131

NPI assigned

Aug 15, 2013

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

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 and National Provider Directory roles.

• Climb Behavioral Solutions, LLC

  • Behavior Analyst
  • Portland, OR
  • NPI 1588276364
  NPD

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1790118552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 OXNARD ST",
            "address_2": "SUITE 1800",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913674976",
            "telephone_number": "818-345-2345",
            "fax_number": "818-449-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 NE 102ND AVE",
            "address_2": "SUITE E",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972204102",
            "telephone_number": "503-254-6317",
            "fax_number": "360-836-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIN",
        "first_name": "CASEY",
        "middle_name": "LEE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-15",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1-13-14088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Keith Marik
• Marilyn Hayward
• Diana Marin Duran
• Yasmin Marin-McGrath, MS-CCC
• Anna Belle Marin, PH.D, MA COUNSELING
• Corina Marin
• Courtney Marin, L.AC
• Henry Marin, RPH
• Jennifer Tova Marin, L.AC
• Katherine Marin, PTA

• Behavior Analyst in Portland, OR
• Providers in Portland, OR by specialty
• Behavior Analyst in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.