Individual
MARISSA DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
226 CALLEN FALLS AVE UNIT 1314, HENDERSON, NV 89011-5568
(213) 500-0722
Mailing address
226 CALLEN FALLS AVE UNIT 1314, HENDERSON, NV 89011-5568
(213) 500-0722
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-23-66592
NV
103K00000X
Behavior Analyst
Primary
LBA0798
NV
Other
Enumeration date
02/17/2020
Last updated
11/21/2025
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