Most Relevant Information
Provider Data
| NPI Number: | 1003372707 |
| Provider Name: | MARISSOL INFANTE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/18/2019 |
| Last Updated: | 02/18/2019 |
Provider Practice Location
5445 W SWEET DR
VISALIA
CA
932919280
Practice Location Phone/Fax
| Phone: | 5597472177 |
| Fax: |
Provider Mailing Location
5445 W SWEET DR
VISALIA
CA
932919280
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |