Marissa Jeree Sebastian, BS,BA,CC

NPI #1578014684 in Kennett, Missouri

Provider Information

NPI Number: 1578014684
Entity Type: Individual
Name: Marissa Jeree Sebastian, BS,BA,CC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: BS,BA,CC
Enumeration Date: Oct 24, 2016
Last Updated: Oct 24, 2016

Practice Location

Address: 102 W CLIPPER ST
City: Kennett
State: Missouri
ZIP Code: 63857-1910
Phone: (573) 559-6404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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