Individual provider · Type 1 NPI

Marisa Maximous, RBT

Developmental Therapist · St. Petersburg, FL

NPI number 1023764156 Active

Practice location

8673 15th Way N
St. Petersburg, FL 33702-2815

Fax (727) 369-8803

Mailing address

5339 Neil Dr Apt 6
St. Petersburg, FL 33714-2406

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XRBT-22-204756 (FL)
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1023764156

Marisa Maximous, RBT's National Provider Identifier is 1023764156, issued on Feb 28, 2022. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in St. Petersburg, FL. The record was last updated on Mar 13, 2025.