Marissa Lee Harfert, MA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

256-140 Issued in WI

Practice address

3120 Memorial Dr
Two Rivers, WI 54241-3229

Phone

(715) 891-1405

NPI assigned

Oct 16, 2018

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Root & Rise ABA, LLC

  • Behavior Analyst
  • Amherst, WI
  • NPI 1326987058
  NPD Authorized official
• Phoenix Behavioral Health Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Two Rivers, WI
  • NPI 1871514778
  NPD (past)

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1831665900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544020207",
            "telephone_number": "715-891-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 MEMORIAL DR",
            "city": "TWO RIVERS",
            "state": "WI",
            "postal_code": "542413229",
            "telephone_number": "715-891-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARFERT",
        "first_name": "MARISSA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WI",
            "license": "256-140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256-140",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy M Hable, AUD
• Amy Hagen
• Hamilton Care Center, LLC
• John Paul Hamilton, RN, CRNA
• James W Hansen, OD
• Scott W Harris, C.R.N.A.
• Michael John Heidt, LAT
• Emily Heimerl
• Catherine Henrickson
• Kourtney Christin Henrickson, LPN

• Behavior Analyst in Two Rivers, WI
• Providers in Two Rivers, WI by specialty
• Behavior Analyst in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; 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.