Individual
MARISSA BREITENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
7016 CORPORATE WAY, WASHINGTON TOWNSHIP, OH 45459-4300
(937) 951-2084
(877) 739-5359
Mailing address
42 WOODCROFT TRL STE D, BEAVERCREEK, OH 45430-1996
(937) 705-6345
(877) 739-5359
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-195118
OH
247200000X
Other Technician
RBT-21-195118
OH
Other
Enumeration date
12/06/2021
Last updated
06/13/2023
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