Individual provider · Type 1 NPI

Marissa Jaclen Henrie

Behavior Analyst · Orlando, FL

NPI number 1083139984 Active

Practice location

11476 S Apopka Vineland Rd Ste 118
Orlando, FL 32836-7006

Call (407) 955-4001 Map

Fax (407) 745-0738

Mailing address

175 Middle St Unit 1201
Lake Mary, FL 32746-3625

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000XNone listed

Behavior Analyst: 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…

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About NPI 1083139984

Marissa Jaclen Henrie's National Provider Identifier is 1083139984, issued on Aug 11, 2017. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Orlando, FL. The record was last updated on Jan 21, 2026.