Marisa Cannon, RBT

NPI #1487288528 in Pooler, Georgia

Provider Information

NPI Number: 1487288528
Entity Type: Individual
Name: Marisa Cannon, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Feb 27, 2020
Last Updated: Feb 27, 2020

Practice Location

Address: 110 PIPEMAKERS CIR STE 116
City: Pooler
State: Georgia
ZIP Code: 31322-4168
Phone: (912) 507-1553

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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