MS. Marisa Azevedo

NPI #1992000962 in San Carlos, California

Provider Information

NPI Number: 1992000962
Entity Type: Individual
Name: MS. Marisa Azevedo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Jan 21, 2011
Last Updated: Jan 21, 2011

Practice Location

Address: 957 INDUSTRIAL RD SUITE B
Address 2: EDGEWOOD FOR CHILDREN AND FAMILIES
City: San Carlos
State: California
ZIP Code: 94070-4151
Phone: (415) 375-7585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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