Most Relevant Information
Provider Data
| NPI Number: | 1003581661 |
| Provider Name: | MARIELYN CARINO |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/14/2021 |
| Last Updated: | 08/14/2021 |
Provider Practice Location
1501 SOUTHCROSS DR W
BURNSVILLE
MN
553066938
Practice Location Phone/Fax
| Phone: | 9524561474 |
| Fax: |
Provider Mailing Location
6465 DELILAH AVE
INVER GROVE HEIGHTS
MN
550761737
Provider Mailing Phone/Fax
| Phone: | 6513859931 |
| Fax: |