Individual
MARISSA WIXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
485 CHRIS KELLEY BLVD, HUTTO, TX 78634-5513
(512) 879-4100
Mailing address
485 CHRIS KELLEY BLVD, HUTTO, TX 78634-5513
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
5720
TX
Other
Enumeration date
02/13/2020
Last updated
08/09/2023
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