Marissa Paige Scowcroft

NPI #1902624000 in Boulder, Colorado

Provider Information

NPI Number: 1902624000
Entity Type: Individual
Name: Marissa Paige Scowcroft
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Sep 28, 2024
Last Updated: Sep 28, 2024

Practice Location

Address: 3000 CENTER GREEN DR STE 120
City: Boulder
State: Colorado
ZIP Code: 80301-2364
Phone: (720) 642-7019

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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