Most Relevant Information
Provider Data
| NPI Number: | 1003594854 |
| Provider Name: | MARISSA C MUELLER |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/10/2023 |
| Last Updated: | 07/10/2023 |
Provider Practice Location
5401 PORTAGE RD
PORTAGE
MI
490021797
Practice Location Phone/Fax
| Phone: | 2693727725 |
| Fax: |
Provider Mailing Location
5200 CROYDEN AVE APT 10301
KALAMAZOO
MI
490093354
Provider Mailing Phone/Fax
| Phone: | 2312861383 |
| Fax: |