Individual
MARISSA PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1700 NW 167TH PL STE 240, BEAVERTON, OR 97006-4872
(248) 299-0030
Mailing address
1200 CONCORD AVE STE 185, CONCORD, CA 94520-5006
(510) 268-8120
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
10185925
OR
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/07/2017
Last updated
07/31/2026
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