Individual provider Active NPI

Marrie K Sallade, M.S., BCBA

  • Behavior Analyst
  • Osteen, FL
National Provider Identifier
1861772865
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-11-9657 Issued in FL
Practice address
179 Rabbit Run
Osteen, FL 32764-9461
Phone
(386) 843-3006
NPI assigned
Aug 22, 2011
Last updated
Aug 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-11-9657 FL Primary

Addresses

Primary practice location

179 Rabbit Run
Osteen, FL 32764-9461

Mailing address

179 Rabbit Run
Osteen, FL 32764-9461
Phone (386) 843-3006

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Foundation Centers Inc Behavior Analyst Current Accepting new patients
Behavioral Foundation Centers Inc Behavior Analyst CurrentSince Aug 1, 2021 Accepting new patients
Exceptional Learning Institute, Inc Behavior Analyst PastSince Oct 8, 2023 Accepting new patients

Locations

537 Deltona Blvd
Deltona, FL 32725
Phone (646) 670-7770

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1861772865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 RABBIT RUN",
            "city": "OSTEEN",
            "state": "FL",
            "postal_code": "327649461",
            "telephone_number": "386-843-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 RABBIT RUN",
            "city": "OSTEEN",
            "state": "FL",
            "postal_code": "327649461",
            "telephone_number": "386-843-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLADE",
        "first_name": "MARRIE",
        "middle_name": "K",
        "credential": "M.S., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-22",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-11-9657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osteen, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.