Individual
MARLEAH KAITLYN FOSSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6116 E ARBOR AVE BLDG 3, MESA, AZ 85206-6107
(720) 706-3396
Mailing address
10370 HOMESTEAD DR, BROWNSBURG, IN 46112-7443
(317) 341-5686
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-79780
IN
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/07/2021
Last updated
04/18/2026
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