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

Marissa Macculloch

Individual provider Behavior Analyst · NPI 1063820934

Marissa Macculloch is a Behavior Analyst in Bethpage, New York. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

49 Columbia St
Bethpage, NY 11714-5112
Phone: (516) 319-3316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1063820934
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 23, 2014
Last updated in NPPESJuly 23, 2014
Mailing address49 Columbia St, Bethpage, NY 11714-5112

Other providers in Bethpage