MARISSA MCCLELLAN (NPI# 1760014245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760014245 |
| Entity Type | Individual |
| Full Name | MARISSA MCCLELLAN |
| Practice Address |
1049 Industrial Blvd Abilene TX 79602-8805 |
| Mailing Address |
2709 Dunbar Dr Mckinney TX 75072-7219 |
| Practice Telephone | 8332884761 |
| Mailing Telephone | 9038150818 |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | TX | Behavioral Health & Social Service Providers |
| Street Address |
1049 INDUSTRIAL BLVD |
| City | ABILENE |
| State | TX |
| Zip Code | 79602-8805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619088762 | Leddy Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 1049 Industrial Blvd, Suite 100, Abilene, TX 79602-7931 | 2006-08-31 |
| 1861026734 | Chris Miller | Behavior Technician | 1049 Industrial Blvd, Abilene, TX 79602-8805 | 2020-02-28 |
| 1376175125 | Camryn Layne Brown | Behavior Technician | 1049 Industrial Blvd, Abilene, TX 79602-8805 | 2020-02-10 |
| 1104458868 | Sara Moore | Behavior Technician | 1049 Industrial Blvd, Abilene, TX 79602-8805 | 2020-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285138206 | Connie Y Benfield Phd Pllc | Psychologist | 100 Chestnut St Ste 112, Abilene, TX 79602 | 2018-03-23 |
| 1356891931 | Op Operations IIi, LLC | Skilled Nursing Facility | 1201 Clarks Drive, Abilene, TX 79602 | 2016-10-07 |
| 1225400112 | Sabrina Roxanne Elliott | Midwife | 1233 Nottingham Rd, Abilene, TX 79602 | 2015-10-30 |
| 1447678859 | Ryan Hebert | Private Vehicle | 290 East Ammo Rd, Dyess Afb, TX 79602 | 2014-04-02 |
| 1083922009 | Catherine R Lenhert | Counselor | 1111 Industrial Blvd #2, Abilene, TX 79602 | 2010-09-24 |
| 1598077828 | Edwyna Ann Watson | Counselor | 1500 Industrial Blvd. Suite 220, Lighthouse Counseling, Abilene, TX 79602 | 2010-07-01 |
| 1891912614 | Murriell M Dorden-gerardo | Lodging | 6981 Maple Street, Abilene, TX 79602 | 2007-04-20 |
| 1588721898 | Frances Martin Wiman | Counselor | 111 Industrial Blvd, Bldg 2, Abilene, TX 79602 | 2007-01-03 |
| 1982779682 | Patsy Joann Massey | Counselor | 1219 E S 11th, Ste A Freedom Counseling Center, Abilene, TX 79602 | 2006-11-21 |
| 1811094386 | Imran A Yazdani | Internal Medicine | 4225 Woods Place, Abilene, TX 79602 | 2006-09-19 |
| Find all providers in zip 79602 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770116238 | Shelby Galvan | Behavior Technician | 6601 Inverness St, Abilene, TX 79606-1637 | 2020-02-12 |
| 1063044402 | Lynsi Autumn Johnson | Behavior Technician | 3549 Cedar Run Rd Apt 1506, Abilene, TX 79606-2469 | 2020-02-04 |
| 1861038788 | Christian Edward Wright | Behavior Technician | 842 Sayles Blvd, Abilene, TX 79605-3202 | 2019-11-26 |
| 1780220665 | Emma Rae Barton | Behavior Technician | 5142 Wagon Wheel Ave, Abilene, TX 79606-5372 | 2019-11-26 |
| 1912548843 | Amanda N Lafrenz | Behavior Technician | 23 Hospital Dr Ste 102, Abilene, TX 79606-5270 | 2019-10-02 |
| 1669029336 | Naika Maxime | Behavior Technician | 1109 Musken Rd Apt 203, Abilene, TX 79601-5583 | 2019-08-19 |
| 1104433242 | Kiya Carroll | Behavior Technician | 23 Hospital Dr Ste 102, Abilene, TX 79606-5270 | 2020-09-23 |
| 1922614015 | Jami Leigh Islas | Behavior Technician | 23 Hospital Dr Ste 102, Abilene, TX 79606-5270 | 2020-09-23 |
| 1790395226 | Christina Marie Swanner | Behavior Technician | 23 Hospital Dr Ste 102, Abilene, TX 79606-5270 | 2020-08-10 |
| 1700494341 | Kimberly Lassiter | Behavior Technician | 4601 S 14th St, Abilene, TX 79605-4734 | 2020-07-20 |
| Find all providers in ABILENE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.