Individual
MARISSA NOVOTNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., BCBA, LBA
Contact information
Practice address
100 CONGRESS AVE STE 2000, AUSTIN, TX 78701-2745
(877) 418-2978
(866) 500-2186
Mailing address
100 CONGRESS AVE STE 2000, AUSTIN, TX 78701-2745
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/12/2014
Last updated
02/04/2020
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