Individual
MISS MARISSA NICHOLE CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
603 E DIEHL RD STE 123, NAPERVILLE, IL 60563-4908
(331) 826-0226
(331) 331-1864
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
(818) 758-8015
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-21484
IL
Other
Enumeration date
12/01/2010
Last updated
10/16/2017
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