Marissa Edison

Behavior Analyst · Kokomo, IN

Individual Active NPI

NPI number 1962376772

Practice location

1558 E Boulevard Ste a
Kokomo, IN 46902-2587
Phone
(765) 252-0530
Fax
(317) 520-8200

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NPI record

NPI
1962376772
Entity type
Individual (Type 1)
Enumeration date
October 3, 2025
Last updated
October 3, 2025
Certified
October 3, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X RBT-25-462229 IN

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone
(855) 324-0885
Fax
(317) 520-8200

About Marissa Edison

Marissa Edison is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 1558 E Boulevard Ste a, Kokomo, IN 46902-2587. The NPI number 1962376772 was assigned on October 3, 2025 and the record was last updated on October 3, 2025.

Marissa Edison lists a license in the registry: #RBT-25-462229 (IN) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Marissa Edison?

The NPI number is 1962376772.

What is the phone number of Marissa Edison?

The phone number listed for the practice location is (765) 252-0530.

Where is Marissa Edison located?

1558 E Boulevard Ste a, Kokomo, IN 46902-2587.

What is the taxonomy code for Marissa Edison?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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