Most Relevant Information
Provider Data
| NPI Number: | 1003598152 |
| Provider Name: | MARISSA CORREA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/07/2023 |
| Last Updated: | 08/07/2023 |
Provider Practice Location
1870 CORDELL CT STE 102
EL CAJON
CA
920200915
Practice Location Phone/Fax
| Phone: | 8552237123 |
| Fax: | 6193747134 |
Provider Mailing Location
PO BOX 33568
SAN DIEGO
CA
921633568
Provider Mailing Phone/Fax
| Phone: | 8552237123 |
| Fax: | 6193747134 |