Marialisa Grassa
Behavior Analyst in San Diego, CA. Individual provider (NPI-1).
NPI number1154928752
StatusActive
Last updated in NPPESOct 6, 2020
Details
- NPI
- 1154928752
- Entity type
- Individual (NPI-1)
- Name
- Marialisa Grassa
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 6, 2020
- Certification date
- Oct 6, 2020
- Last updated
- Oct 6, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | BACB625383 | CA | Yes |
Practice location
7090 Miratech DrSan Diego, CA 92121-3109
Phone 858-304-6440
Mailing address
232 El Monte RdEl Cajon, CA 92020-3020
Phone 619-651-6465
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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