Individual
MARISSA NICOLE SCIMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
290 WEST EXCHANGE ST, SUITE 101, PROVIDENCE, RI 02903
(401) 214-2330
Mailing address
21600 OXNARD ST, WOODLAND HILLS, CA 91367-4976
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
RI
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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