Individual
MARRISSA DORING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
690 W 2ND ST STE D, JASPER, IN 47546-3277
(812) 481-8141
Mailing address
690 W 2ND ST STE D, JASPER, IN 47546-3277
(812) 481-8141
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-80027
IN
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/04/2024
Last updated
03/24/2025
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