IndividualActive
Marisa Mattingly
NPI 1053295212 · Behavior Technician · Hattiesburg, MS
Marisa Mattingly is a Behavior Technician provider in Hattiesburg, MS (NPI 1053295212).
Provider details
- NPI number
- 1053295212
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 25451431 (MS)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4229 U S Highway 11
Hattiesburg, MS 39402-8024
Phone: (601) 447-4658
Street-level locationGet directions
Mailing address
4229 U S Highway 11
Hattiesburg, MS 39402-8024
Registry dates
- Enumerated
- 2025-08-01
- Last updated
- 2025-08-01
- Certified
- 2025-08-01
Frequently asked questions
- What is Marisa Mattingly's NPI number?
- Marisa Mattingly's National Provider Identifier (NPI) is 1053295212, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marisa Mattingly's specialty?
- Marisa Mattingly is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Marisa Mattingly located?
- Marisa Mattingly's practice location on file with NPPES is 4229 U S Highway 11, Hattiesburg, MS 39402-8024.
- What is Marisa Mattingly's phone number?
- The practice phone number listed in the NPPES registry for Marisa Mattingly is (601) 447-4658.
- Is Marisa Mattingly's NPI active?
- Yes — Marisa Mattingly's NPI (1053295212) is active in the NPPES registry as of the last update on 2025-08-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.