Marisa Mattingly
NPI #1053295212 in Hattiesburg, Mississippi
Provider Information
- NPI Number
- 1053295212
- Entity Type
- Individual
- Name
- Marisa Mattingly
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Aug 1, 2025
- Last Updated
- Aug 1, 2025
Practice Location
- Address
- 4229 U S HIGHWAY 11
- City
- Hattiesburg
- State
- Mississippi
- ZIP Code
- 39402-8024
- Phone
- (601) 447-4658
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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