Marissa M Legal

NPI #1013579762 in Thousand Oaks, California

Provider Information

NPI Number: 1013579762
Entity Type: Individual
Name: Marissa M Legal
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 2, 2019
Last Updated: Jul 2, 2019

Practice Location

Address: 509 MARIN ST STE 135
City: Thousand Oaks
State: California
ZIP Code: 91360-7897
Phone: (805) 379-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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