Marissa Lee Bauwens

NPI #1053092338 in Thousand Oaks, California

Provider Information

NPI Number: 1053092338
Entity Type: Individual
Name: Marissa Lee Bauwens
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 28, 2023
Last Updated: Jul 28, 2023

Practice Location

Address: 223 E THOUSAND OAKS BLVD STE 100
City: Thousand Oaks
State: California
ZIP Code: 91360-7708
Phone: (714) 834-1111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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