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Marisa Fredrick

Behavior Analyst β€’ Manhattan, KS

Active NPI 1902361355 Individual Practitioner Female Practitioner
Practice location in NPPES

1133 College Ave Ste E230
Manhattan, KS 665022818

Call 7855871825 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

1133 College Ave Ste E230

Manhattan, KS 665022818

Telephone 7855871825
Organization at the Same NPPES Address or Phone
No Stone Unturned Foundation Facility NPI 1528517901

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

NPI first issued

2019

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 Manhattan and Kansas

31 active clinicians are listed under Behavior Analyst with a practice address in Manhattan, KS (666 in Kansas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Manhattan

0% of these 31 clinicians have the CMS telehealth indicator.

0% of these 31 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: 2023-12-01
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES KS 1-21-56631

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: Kansas State Medical Licensing Board.
Look Up on State Board Site

Career & Practice History Timeline

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

10 Historical Events
πŸ“
Updated Practice Location December 01, 2023

Registered at 1133 COLLEGE AVE STE E230, MANHATTAN, KS 665022818 (Tel: 7855871825)

πŸ“
Updated Business Mailing Address December 01, 2023

Registered at 1040 SUNSET DR, LAWRENCE, KS 660444546 (Tel: 6192880058)

πŸ‘€
Provider Name / Credentials Updated December 01, 2023

Recorded as MARISA FREDRICK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2023

Behavior Analyst (license number reported to NPPES: KS 1-21-56631)

βœ…
NPI Profile Active February 08, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 08, 2019

Registered at 2928 JEFFERSON ST STE 100, CARLSBAD, CA 920082374 (Tel: 8552237123)

πŸ“
Business Mailing Address (Initial Record) February 08, 2019

Registered at 16782 VON KARMAN AVE STE 11, IRVINE, CA 926062417 (Tel: 8552237123)

πŸ‘€
Provider Name / Credentials (Initial Record) February 08, 2019

Recorded as MARISA MORRIS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2019

Behavior Technician (license number reported to NPPES: CA RBT-19-78048)

🟒
Initial NPI Registration & Enumeration February 08, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1902361355
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 08, 2019
Last Update: December 01, 2023
Sole Proprietor: No

Mailing Address

1040 Sunset Dr

Lawrence, KS 660444546

Phone: 6192880058

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.