MARISSA JOY MCVICAR


Address: 330 N Gore Ave, Saint Louis, MO 63119-1600
Phone: 3149682060

MARISSA JOY MCVICAR (NPI# 1932745924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932745924
Entity Type Individual
Full Name MARISSA JOY MCVICAR
Credential BCBA
Practice Address 330 N Gore Ave
Saint Louis
MO 63119-1600
Mailing Address 11611 Frontier Dr
Saint Louis
MO 63146-4852
Practice Telephone 3149682060
Mailing Telephone 3148051777
Enumeration Date 2019-11-25
Last Update Date 2019-11-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst 2019041190 MO Behavioral Health & Social Service Providers

Office Location

Street Address 330 N GORE AVE
City SAINT LOUIS
State MO
Zip Code 63119-1600

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750486387 Joseph Norbert Beck Social Worker 330 N Gore Ave, Saint Louis, MO 63119-1600 2006-09-14
1720689326 Sydney Tramaine Washington Counselor 330 N Gore Ave, Saint Louis, MO 63119-1600 2020-11-02
1083228795 Aquila Rives Counselor 330 N Gore Ave, Saint Louis, MO 63119-1600 2020-09-01
1902417108 Michael Patrick Meehan Psychologist 330 N Gore Ave, Saint Louis, MO 63119-1600 2020-08-11
1255963211 Ruth Marie Caputo Speech-Language Pathologist 330 N Gore Ave, Saint Louis, MO 63119-1600 2020-02-07
1215577382 Brooke Blythe Counselor 330 N Gore Ave, Saint Louis, MO 63119-1600 2020-01-07
1679112973 Rachel Ruth Kloppe Counselor 330 N Gore Ave, Saint Louis, MO 63119-1600 2020-01-03
1538705702 Patricia Fleischmann Behavioral Analyst 330 N Gore Ave, Saint Louis, MO 63119-1600 2019-11-22
1588214274 Michelle Moore Counselor 330 N Gore Ave, Saint Louis, MO 63119-1600 2019-09-16
1225699341 Didi Lombardo Counselor 330 N Gore Ave, Saint Louis, MO 63119-1600 2019-06-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114525631 Kaylen A Howard Specialist/Technologist No, No, MO 63119 2020-10-16
1053887612 St. Gianna Pediatrics, LLC Pediatrics 7387 Watson Road, Shrewsbury, MO 63119 2018-10-22
1982140265 Forefront Dermatology, S.c. Dermatology 8567 Watson Rd, Webster Groves, MO 63119 2017-01-11
1407308018 Tyler Clark Student in an Organized Health Care Education/Training Program 7785 Keswick Pl, Saint Louis, MO 63119 2016-10-30
1396109880 Ritesh Gandhi Family Medicine 7345 Watson Rd Ste 203, Saint Louis, MO 63119 2016-04-11
1568834489 Antonio Robinson Counselor 330 N. Gore, Great Circle, Saint Louis, MO 63119 2015-10-30
1922484039 Odessa Baker X Dietary Manager 525 N. Laclede Station Road, St. Louis, MO 63119 2015-07-31
1194114694 Laura Maher Social Worker 201 W. Lockwood Ave, Suite 201, St. Louis, MO 63119 2015-01-21
1427314046 Dick (richard) Ralph Brummett Family Medicine 711 S Laclede Sta Rd, # 2111, St Louis, MO 63119 2012-04-09
1972872935 Dolliene A. Raabe Social Worker 8050 Watson Road, Suite 201, St. Louis, MO 63119 2011-12-21
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144828906 Davis Nicole Norber Behavioral Analyst 2 Stacy Dr, Saint Louis, MO 63132-4120 2020-10-14
1598375065 Heather Ann Kulash Behavioral Analyst 3207 Halliday Ave Apt 2e, Saint Louis, MO 63118-1264 2020-08-08
1972135606 Emergent Learning, LLC Behavioral Analyst 2055 Craigshire Rd Ste 390, Saint Louis, MO 63146-4028 2020-02-11
1184268963 Zenia Ann Roberts Behavioral Analyst 1694 S Mason Rd, Saint Louis, MO 63131-1215 2019-11-04
1184272072 Arkila 360 Degrees Counseling and Consulting Services Behavioral Analyst 1400 Russell Blvd, Saint Louis, MO 63104-4384 2019-09-03
1164982054 Anna Hastings Behavioral Analyst 5356 Vernon Ave, Saint Louis, MO 63112-3312 2019-03-25
1659835056 Antonia Raye Stillpass Behavioral Analyst 7522 Big Bend Blvd, Saint Louis, MO 63119-2104 2019-01-30
1316417785 Shiquita Lynne Lane Behavioral Analyst 520 Elizabeth Dr, Saint Louis, MO 63119-4240 2018-11-28
1215459722 Matthew Page Behavioral Analyst 4000 Healy Ct, Saint Louis, MO 63123-7743 2017-07-17
1295261048 Establishing Interactions Behavioral Analyst 6190 Washington Blvd, Saint Louis, MO 63112-1208 2017-05-11
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Competitor

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City SAINT LOUIS
Zip Code 63119

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Dataset Information

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.

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