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Marissa Anderson

Behavior Technician in Alma, MI. Individual provider (NPI-1).

NPI number1043907652
StatusActive
Last updated in NPPESApr 24, 2023

Details

NPI
1043907652
Entity type
Individual (NPI-1)
Name
Marissa Anderson
Sex
Female
Sole proprietor
No
Enumeration date
Apr 24, 2023
Certification date
Apr 24, 2023
Last updated
Apr 24, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

315 E Warwick Dr Ste E
Alma, MI 48801-1083

Phone 989-285-1490

Mailing address

2521 N Elms Rd
Flushing, MI 48433-9423

Phone 866-498-3909

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