Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marissa Ballard, BCBA

Individual provider Behavior Analyst · NPI 1275035461

Marissa Ballard, BCBA is a Behavior Analyst in San Jose, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
Specialties on file
2
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

1101 S Winchester Blvd Ste N-260
San Jose, CA 95128-3901
Phone: (408) 689-4900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-20-45026 (CA)
Behavior Analyst Taxonomy 103K00000X · Licence RBT-17-40555 (CA)

Record details

NPI number1275035461
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA
Sole proprietorNo
NPI enumeratedMarch 2, 2018
Last updated in NPPESApril 11, 2023
Certification dateMarch 1, 2023
Mailing address2730 Shadelands Dr, Walnut Creek, CA 94598-2538

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