MISS Marissa E Evangelisa

NPI #1760948384 in Union City, California

Provider Information

NPI Number: 1760948384
Entity Type: Individual
Name: MISS Marissa E Evangelisa
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Feb 19, 2019
Last Updated: Feb 19, 2019

Practice Location

Address: 4512 MACKINAW ST
City: Union City
State: California
ZIP Code: 94587-5920
Phone: (510) 364-6265

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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