Individual
MARISSA STAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6041 S SYRACUSE WAY STE 250, GREENWOOD VILLAGE, CO 80111-4744
(888) 428-3223
(323) 866-1881
Mailing address
4221 WILSHIRE BLVD STE 300A, LOS ANGELES, CA 90010-3537
(888) 428-3223
(323) 866-1881
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-57898
CO
103TH0100X
Health Service Psychologist
S326585744610
MI
Other
Enumeration date
06/26/2016
Last updated
02/15/2022
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