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

Marissa Mack, BA, RBT

Individual provider Behavior Technician · NPI 1114723970

Marissa Mack, BA, RBT is a Behavior Technician in Kokomo, Indiana. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.
RBT — Registered Behavior Technician
Delivers behaviour therapy under a behaviour analyst's supervision.

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Practice location Address checks out

1558 E Blvd Ste A
Kokomo, IN 46902-2587
Phone: (765) 252-0530
Fax: (317) 520-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-24-394558

Record details

NPI number1114723970
Entity typeIndividual (Type 1)
GenderFemale
Credentials BA , RBT
Sole proprietorNo
NPI enumeratedFebruary 21, 2025
Last updated in NPPESFebruary 21, 2025
Certification dateFebruary 21, 2025
Mailing address3500 Depauw Blvd Ste 3070, Indianapolis, IN 46268-6135

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