Marissa Grimes

NPI #1790576627 in Albany, California

Provider Information

NPI Number: 1790576627
Entity Type: Individual
Name: Marissa Grimes
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: May 12, 2025
Last Updated: May 12, 2025

Practice Location

Address: 1041 VENTURA AVE
City: Albany
State: California
ZIP Code: 94706-2530
Phone: (707) 639-6397

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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