Active NPI
Marissa Gabrielle Dunn, RBT
- Behavior Technician
- Raleigh, NC
National Provider Identifier
1831794643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-21-166882
- Practice address
- 314 Chapanoke Rd
Raleigh, NC 27603-3400 - Phone
- (919) 773-2020
- Fax
- (919) 773-1044
- NPI assigned
- Dec 1, 2020
- 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 Technician | 106S00000X | RBT-21-166882 | NC | Primary |
Addresses
Primary practice location
314 Chapanoke Rd
Raleigh, NC 27603-3400
Mailing address
210 Arbordale CT
Cary, NC 27518-3003
Phone (919) 621-1070
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-21-166882 | NC | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645142400000",
"number": "1831794643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 ARBORDALE CT",
"city": "CARY",
"state": "NC",
"postal_code": "275183003",
"telephone_number": "919-621-1070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 CHAPANOKE RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276033400",
"telephone_number": "919-773-2020",
"fax_number": "919-773-1044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "MARISSA",
"middle_name": "GABRIELLE",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-01",
"last_updated": "2022-02-18",
"certification_date": "2022-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NC",
"license": "RBT-21-166882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.