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Marisa Iyamide Smith , BCBA

Behavior Analyst β€’ San Jose, CA

Active NPI 1659750784 Individual Practitioner Female Practitioner
Practice location in NPPES

631 River Oaks Pkwy
San Jose, CA 951341907

Call 4155801695 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

631 River Oaks Pkwy

San Jose, CA 951341907

Telephone 4155801695
Organization at the Same NPPES Address or Phone
Maxim Healthcare Services, Inc. Facility NPI 1417994864

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in San Jose and California

397 active clinicians are listed under Behavior Analyst with a practice address in San Jose, CA (20,363 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in San Jose

0% of these 397 clinicians have the CMS telehealth indicator.

0% of these 397 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-12-10
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES CA 12153825

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ“
Updated Practice Location July 21, 2024

Registered at 631 RIVER OAKS PKWY, SAN JOSE, CA 951341907 (Tel: 4155801695)

πŸ“
Updated Business Mailing Address July 21, 2024

Registered at 631 RIVER OAKS PKWY, SAN JOSE, CA 951341907 (Tel: 4155801695)

πŸ“
Updated Practice Location August 24, 2023

Registered at 2010 CROW CANYON PL STE 100, SAN RAMON, CA 945831344 (Tel: 8558326727)

πŸ“
Updated Practice Location October 08, 2021

Registered at 631 RIVER OAKS PKWY, SAN JOSE, CA 951341907 (Tel: 4089147478)

πŸ“
Updated Business Mailing Address October 08, 2021

Registered at 637 SHEPHERD AVE APT A, HAYWARD, CA 945444566 (Tel: 5106485590)

πŸ‘€
Provider Name / Credentials Updated October 08, 2021

Recorded as MARISA SMITH, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2021

Behavior Analyst (license number reported to NPPES: CA 12153825)

βœ…
NPI Profile Active May 21, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 21, 2015

Registered at 303 VAN BUREN AVE, OAKLAND, CA 946104340 (Tel: 5102683770)

πŸ“
Business Mailing Address (Initial Record) May 21, 2015

Registered at 303 VAN BUREN AVE, OAKLAND, CA 946104340 (Tel: 5102683770)

πŸ‘€
Provider Name / Credentials (Initial Record) May 21, 2015

Recorded as MARISA SMITH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2015

Counselor

🟒
Initial NPI Registration & Enumeration May 21, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1659750784
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 21, 2015
Last Update: December 10, 2025
Sole Proprietor: No

Mailing Address

631 River Oaks Pkwy

San Jose, CA 951341907

Phone: 4155801695

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.