Marissa Ann Wimmer

NPI #1053954255 in Mc Lean, Virginia

Provider Information

NPI Number: 1053954255
Entity Type: Individual
Name: Marissa Ann Wimmer
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 21, 2019
Last Updated: Oct 21, 2019

Practice Location

Address: 1651 OLD MEADOW RD STE 600
City: Mc Lean
State: Virginia
ZIP Code: 22102-4389
Phone: (703) 506-0123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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