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

Marissa Grace Gerleman

Individual provider Behavior Technician · NPI 1629896782

Marissa Grace Gerleman is a Behavior Technician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2024.

Licensed in
AZ
In the registry since
2024

Practice location Address checks out

3201 W Peoria Ave Ste B301
Phoenix, AZ 85029-4618
Phone: (602) 926-7200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-24-379876 (AZ)

Record details

NPI number1629896782
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 27, 2024
Last updated in NPPESSeptember 27, 2024
Certification dateSeptember 27, 2024
Mailing address7206 N 83rd Dr, Glendale, AZ 85305-6982

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