Marissa C Mueller
Behavior Technician in Portage, MI. Individual provider (NPI-1).
NPI number1003594854
StatusActive
Last updated in NPPESJul 10, 2023
Details
- NPI
- 1003594854
- Entity type
- Individual (NPI-1)
- Name
- Marissa C Mueller
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 10, 2023
- Certification date
- Jul 10, 2023
- Last updated
- Jul 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
5401 Portage RdPortage, MI 49002-1797
Phone 269-372-7725
Mailing address
5200 Croyden Ave Apt 10301Kalamazoo, MI 49009-3354
Phone 231-286-1383
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All 327 Behavior Technician providers in Portage · All 1,955 providers in Portage
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