MS. STACI BLAIR MARZOLINO (NPI# 1831516731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831516731 |
| Entity Type | Individual |
| Full Name | MS. STACI BLAIR MARZOLINO |
| Credential | LCSW, BCBA |
| Practice Address |
306 Westwood Office Park Fredericksburg VA 22401-5108 |
| Mailing Address |
105 Birch Ct Locust Grove VA 22508-5720 |
| Practice Telephone | 8565203099 |
| Mailing Telephone | 8565203099 |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2015-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
0904007946 | VA | Behavioral Health & Social Service Providers |
| Y | 103K00000X | Behavioral Analyst | 0133000637 | VA | Behavioral Health & Social Service Providers |
| Street Address |
306 WESTWOOD OFFICE PARK |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22401-5108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346857810 | Rachel Marie Ormsbee | Counselor | 306 Westwood Office Park, Fredericksburg, VA 22401-5108 | 2020-09-28 |
| 1114563509 | Kristina Stone | Social Worker | 306 Westwood Office Park, Fredericksburg, VA 22401-5108 | 2019-11-21 |
| 1629614052 | Roger G. Mortise | Counselor | 306 Westwood Office Park, Fredericksburg, VA 22401-5108 | 2019-11-20 |
| 1164087326 | Christopher Lynn | Counselor | 306 Westwood Office Park, Fredericksburg, VA 22401-5108 | 2019-05-03 |
| 1588177943 | Jeanie Melissa Melendez-davidson | Psychologist | 306 Westwood Office Park, Fredericksburg, VA 22401 | 2017-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992313415 | Amanda Dodd | Behavior Technician | 1411 Princess Anne, Fredericksburg, VA 22401 | 2020-07-21 |
| 1215567326 | Britteny Whitaker | Behavior Technician | 1411 Princess Ann, Fredericksburg, VA 22401 | 2020-01-17 |
| 1396389433 | Ashley Stanevich | Behavior Technician | 1411 Princess Anne Lane, Fredericksburg, VA 22401 | 2019-11-01 |
| 1265074231 | Anna Kelleher | Behavior Technician | 1411 Princess Anna St, Frericksburg, VA 22401 | 2019-10-11 |
| 1649824152 | Zaan Z Ali | Audiologist | 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 | 2019-08-01 |
| 1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
| 1285290965 | Ann Damalie Namabiro | Behavior Technician | 1411 Princess Ann Street, Fredericksburg, VA 22401 | 2019-05-17 |
| 1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
| 1003323056 | Mariah Mazzariello | Behavior Technician | 1411 Princess Anne Stree, Fredericksburg, VA 22401 | 2017-12-29 |
| 1336655281 | Hina Zafar | Behavior Technician | 1411 Princess Anne St., Fredericksburg, VA 22401 | 2017-12-14 |
| Find all providers in zip 22401 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801406723 | Paris Terrell | Behavioral Analyst | 4528 Plank Rd Ste A3, Fredericksburg, VA 22407-0141 | 2020-08-05 |
| 1558996256 | Kate Vennergrund | Behavioral Analyst | 4528 Plank Rd # B-c, Fredericksburg, VA 22407-0141 | 2020-03-03 |
| 1639694110 | Heather Niemiec | Behavioral Analyst | 312 Progress St Ste 300, Fredericksburg, VA 22401 | 2017-08-07 |
| 1164946273 | Katrina Marie Bialecki | Behavioral Analyst | 904 Princess Anne St Ste 407, Fredericksburg, VA 22401-5804 | 2017-07-31 |
| 1790133924 | Elizabeth Liskom | Behavioral Analyst | 1602-1604 William Street, Fredericksburg, VA 22401-5549 | 2016-05-27 |
| 1285010090 | Dana Hitt | Behavioral Analyst | 492 Cropp Rd., Fredericksburg, VA 22406 | 2015-08-04 |
| 1346655503 | Tamica Nathalie Autry | Behavioral Analyst | 4313 Mount Vernon Place, Fredericksburg, VA 22401 | 2014-06-26 |
| 1104242627 | Elizabeth Brady | Behavioral Analyst | 11905 Bowman Dr Ste 507, Fredericksburg, VA 22408-7344 | 2014-03-07 |
| 1578995858 | Amber Boozer | Behavioral Analyst | 1329 Alum Spring Dr. Ste 202, Fredericksburg, VA 22401-8011 | 2013-08-08 |
| 1841557584 | Nathan Creech | Behavioral Analyst | 1329 Alum Spring Rd Ste 202, Fredericksburg, VA 22401-8011 | 2012-04-19 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22401 |
Please comment or provide details below to improve the information on MS. STACI BLAIR MARZOLINO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.