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Individual
MARISSA JO WEIS
Active
Individual
MARISSA JO WEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-71582
—
106E00000X
Assistant Behavior Analyst
0-21-11786
FL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/15/2017
Last updated
03/18/2024
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