Marissa Joann Holle
Behavior Technician in O Fallon, IL. Individual provider (NPI-1).
NPI number1801644752
StatusActive
Last updated in NPPESMay 7, 2024
Details
- NPI
- 1801644752
- Entity type
- Individual (NPI-1)
- Name
- Marissa Joann Holle
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 7, 2024
- Certification date
- May 7, 2024
- Last updated
- May 7, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
145 Springfield CtO Fallon, IL 62269-2495
Phone 217-525-8332
Mailing address
5220 6th Street Frontage Rd E Ste 1700Springfield, IL 62703-5771
Phone 217-525-8332
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 296 Behavior Technician providers in O Fallon · All 1,289 providers in O Fallon
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