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Marissa Delores Magdaleno

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

NPI number1144729559
StatusActive
Last updated in NPPESFeb 12, 2018

Details

NPI
1144729559
Entity type
Individual (NPI-1)
Name
Mrs. Marissa Delores Magdaleno
Sex
Female
Sole proprietor
No
Enumeration date
Feb 12, 2018
Last updated
Feb 12, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Other names

  • Marissa Delores Cano (Former Name)

Practice location

8951 Morro Rd
Atascadero, CA 93422-3984

Phone 805-703-2120

Mailing address

21600 Oxnard St
Ste. 1800
Woodland Hills, CA 91367-7807

Phone 818-345-2345

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Other Behavior Technician providers in Atascadero, CA

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