Marissa Diane Alexander

NPI #1174245310 in Dewitt, Michigan

Provider Information

NPI Number: 1174245310
Entity Type: Individual
Name: Marissa Diane Alexander
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 14, 2022
Last Updated: Mar 6, 2023

Practice Location

Address: 1161 E CLARK RD STE 360
City: Dewitt
State: Michigan
ZIP Code: 48820-7930
Phone: (517) 507-5565

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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