Individual
ELISA MARIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
Mailing address
670 BOLEY FIELD DR W, IMPERIAL, CA 92251-9015
(760) 562-5757
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
06/27/2023
Last updated
07/03/2023
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