Individual
MARISSA COFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
129 W LAKE MEAD PKWY STE 19, HENDERSON, NV 89015-7055
(702) 568-1300
Mailing address
2312 N GREEN VALLEY PKWY APT 921, HENDERSON, NV 89014-3111
(317) 970-4464
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/08/2026
Last updated
08/08/2026
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