Individual
MARRISSA JANISCH RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
612 S MYRTLE AVE # 100, MONROVIA, CA 91016-3406
(626) 775-7888
Mailing address
612 S MYRTLE AVE # 100, MONROVIA, CA 91016-3406
(626) 775-7888
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
08/07/2020
Last updated
07/07/2021
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