Individual
MARISSA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
2310 130TH AVE NE STE 100, BELLEVUE, WA 98005-1757
(425) 882-8868
Mailing address
7016 15TH AVE NW UNIT 113, SEATTLE, WA 98117-5589
(206) 890-8895
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA.BA.61555256
WA
Other
Enumeration date
08/09/2021
Last updated
04/28/2024
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