Individual provider · Type 1 NPI

Marissa Ballard, BCBA

Behavior Analyst · San Jose, CA

NPI number 1275035461 Active

Practice location

1101 S Winchester Blvd Ste N-260
San Jose, CA 95128-3901

Mailing address

2730 Shadelands Dr
Walnut Creek, CA 94598-2538

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X1-20-45026 (CA)
Behavior Analyst 103K00000XRBT-17-40555 (CA)

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 1275035461

Marissa Ballard, BCBA's National Provider Identifier is 1275035461, issued on Mar 2, 2018. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in San Jose, CA. The record was last updated on Apr 11, 2023.