Individual
MARISSA DAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
3500 7TH AVE S, BIRMINGHAM, AL 35222-3211
(205) 963-7682
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-19-36088
—
103K00000X
Behavior Analyst
2025-072
AL
103K00000X
Behavior Analyst
Primary
BEH-001984
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-19-36088
BCBA
—
Enumeration date
02/28/2020
Last updated
03/06/2026
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