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Marissa Palmer , BCBA

Behavior Analyst β€’ Beaverton, OR

Active NPI 1578088043 Individual Practitioner Female Practitioner
Practice location in NPPES

1700 Nw 167th Pl Ste 240
Beaverton, OR 970064872

Call 2482990030 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

1700 Nw 167th Pl Ste 240

Beaverton, OR 970064872

Telephone 2482990030
Organization at the Same NPPES Address or Phone
Centria Healthcare Llc Facility NPI 1053641498

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

NPI first issued

2017

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 Beaverton and Oregon

127 active clinicians are listed under Behavior Analyst with a practice address in Beaverton, OR (1,425 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Beaverton

0% of these 127 clinicians have the CMS telehealth indicator.

0% of these 127 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: 2026-07-31
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES OR 10185925

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: Oregon Medical 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

12 Historical Events
πŸ“
Updated Business Mailing Address July 31, 2026

Registered at 1200 CONCORD AVE STE 185, CONCORD, CA 945205006 (Tel: 5102688120)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2026

Behavior Analyst (license number reported to NPPES: OR 10185925)

πŸ‘€
Provider Name / Credentials Updated February 10, 2025

Recorded as MARISSA PALMER, BCBA

πŸ“
Updated Practice Location January 10, 2025

Registered at 1700 NW 167TH PL STE 240, BEAVERTON, OR 970064872 (Tel: 2482990030)

πŸ“
Updated Business Mailing Address January 10, 2025

Registered at 27777 INKSTER RD., SUITE 100, FARMINGTON HILLS, MI 48334

πŸ‘€
Provider Name / Credentials Updated January 10, 2025

Recorded as MARISSA DEANE, BCBA

βœ…
NPI Profile Active August 07, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 07, 2017

Registered at 41521 W 11 MILE RD, NOVI, MI 483751803 (Tel: 2482990030)

πŸ“
Business Mailing Address (Initial Record) August 07, 2017

Registered at 41521 W 11 MILE RD, NOVI, MI 483751803

πŸ‘€
Provider Name / Credentials (Initial Record) August 07, 2017

Recorded as MARISSA DEANE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2017

Behavior Technician

🟒
Initial NPI Registration & Enumeration August 07, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1578088043
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 07, 2017
Last Update: July 31, 2026
Sole Proprietor: No

Mailing Address

1200 Concord Ave Ste 185

Concord, CA 945205006

Phone: 5102688120

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.