Individual
MARISSA PITEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 ELENA ST APT 602, CRANSTON, RI 02920-4387
(860) 338-0661
Mailing address
100 ELENA ST APT 602, CRANSTON, RI 02920-4387
(860) 338-0661
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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