Most Relevant Information
Provider Data
| NPI Number: | 1003302217 |
| Provider Name: | MARISSA MAKEKAU |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/11/2018 |
| Last Updated: | 07/11/2018 |
Provider Practice Location
1782 D ST APT 71
HAYWARD
CA
945414372
Practice Location Phone/Fax
| Phone: | 4254356897 |
| Fax: |
Provider Mailing Location
1782 D ST APT 71
HAYWARD
CA
945414372
Provider Mailing Phone/Fax
| Phone: | 4254356897 |
| Fax: |