Marissa Lettington

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-62307 Issued in SD

Practice address

1470 Industrial Dr NW
Rochester, MN 55901-0700

Phone

(507) 322-7750

Fax

(920) 857-3366

NPI assigned

Feb 9, 2018

Last updated

Nov 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Marissa Sanders Former name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• SWWC Service Cooperatives

  dba The READY Clinic

  • Early Intervention Provider Agency
  • Montevideo, MN
  • NPI 1083175442
  NPD

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1902305535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 INDUSTRIAL DR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559010700",
            "telephone_number": "507-332-7750",
            "fax_number": "920-857-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 INDUSTRIAL DR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559010700",
            "telephone_number": "507-322-7750",
            "fax_number": "920-857-3366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2151 Professional Dr",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956613761",
            "country_code": "US",
            "telephone_number": "818-345-2345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1105 W Russell St",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571041322",
            "country_code": "US",
            "telephone_number": "605-271-2690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 W Russell St",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571041322",
            "country_code": "US",
            "telephone_number": "605-271-2690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2419 Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Montevideo",
            "state": "MN",
            "postal_code": "562652619",
            "country_code": "US",
            "telephone_number": "320-321-1484",
            "fax_number": "320-877-9088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LETTINGTON",
        "first_name": "MARISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-09",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "SD",
            "license": "1-22-62307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "SANDERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sara Pike Lester, MD
• Scott Christopher Lester, MD
• Louis Letendre, M.D.
• Jacqueline Marie Letourneau, LADC
• Jessica Lettelleir, DDS
• Louis N Letts, CRNA
• Allison Meghan Leung
• Edward C Leung, M.D.
• Jonathan G. Leung, PHARMD
• Nelson Leung, M.D.

• Behavior Analyst in Rochester, MN
• Providers in Rochester, MN by specialty
• Behavior Analyst in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.