Marissa Chunn, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-15380 Issued in FL

Practice address

2015 Doctors Lake Dr
Orange Park, FL 32073-5410

Phone

(904) 644-8632

Fax

(904) 644-8753

NPI assigned

Apr 8, 2014

Last updated

Apr 8, 2014By the provider in NPPES

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

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.

• Ausome Behaviors LLC

  • Behavior Analyst
  • Jacksonville, FL
  • NPI 1144757477
  NPD (past)

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1982023834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8016 ATLANTIC BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322118751",
            "telephone_number": "904-329-3317",
            "fax_number": "904-329-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 DOCTORS LAKE DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735410",
            "telephone_number": "904-644-8632",
            "fax_number": "904-644-8753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNN",
        "first_name": "MARISSA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-08",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-14-15380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chiropractic Spine and Injury Center LLC
• Paulina Chlebicka
• Choisser Wellness Center LLC
• William V Choisser, M.D
• Craig Chris, APRN
• Cinet, Inc (Cinet Registered Dietitians)
• Shea Cintron
• Gerald Alfred Cioffi, DMD
• Citrus Spine Institute LLC
• Cja Senior Associates LLC Dba a Place at Home Orange Park

• Behavior Analyst in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; 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.