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Marissa Sari Bracamonte

Behavior Technician in Modesto, CA. Individual provider (NPI-1).

NPI number1124866751
StatusActive
Last updated in NPPESSep 17, 2026

Details

NPI
1124866751
Entity type
Individual (NPI-1)
Name
Marissa Sari Bracamonte
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 17, 2024
Certification date
Sep 17, 2026
Last updated
Sep 17, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

2630 W Rumble Rd
Modesto, CA 95350-0155

Phone 209-222-2378

Mailing address

2630 W Rumble Rd
Modesto, CA 95350-0155

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