Marissa Butcher

NPI 1023400694 - Behavioral Analyst - 103K00000X

NPI Details
NPI 1023400694
Gender Female
Enumeration Date 02/19/2015
Last Updated 02/19/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
16946 SHERMAN WAY
ASD
VAN NUYS CA, 91406-3613, US
Phone (818) 401-0661
Fax
Business Location
16946 SHERMAN WAY
ASD
VAN NUYS CA, 91406-3613, US
Phone (818) 401-0661
Fax
Toxanomy
Taxonomy Code 103K00000X
License State California
License Number 1-14 -17496
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According to our database, Marissa Butcher NPI is 1023400694, taxonomy code is 103K00000X and license number is 1-14 -17496, license state is located at California. Marissa Butcher physically located at 16946 Sherman Way, Van Nuys CA, 91406-3613. NPI Number Marissa Butcher has the Individual type.

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1023400694 NPI number is provided on an as is basis without warranty of any kind. 1023400694 is maintained by the National Plan & Provider Enumeration System. The contents of Marissa Butcher are for informational purposes only.