Most Relevant Information
Provider Data
| NPI Number: | 1003364670 |
| Provider Name: | MARISSA LYNN MAREK |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/13/2016 |
| Last Updated: | 09/13/2016 |
Provider Practice Location
9012 Q ST
OMAHA
NE
681273549
Practice Location Phone/Fax
| Phone: | 4025596408 |
| Fax: | 4025595737 |
Provider Mailing Location
985450 NEBRASKA MEDICAL CTR
OMAHA
NE
681985450
Provider Mailing Phone/Fax
| Phone: | 4025596408 |
| Fax: | 4025595737 |