Marisa Correll
Behavior Technician in Modesto, CA. Individual provider (NPI-1).
NPI number1023948148
StatusActive
Last updated in NPPESMay 20, 2026
Details
- NPI
- 1023948148
- Entity type
- Individual (NPI-1)
- Name
- Marisa Correll
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 20, 2026
- Certification date
- May 20, 2026
- Last updated
- May 20, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3600 Sisk Rd Ste 4eModesto, CA 95356-0542
Phone 209-646-5333
Mailing address
3600 Sisk Rd Ste 4eModesto, CA 95356-0542
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