Individual
MARISSA MANCUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
108 CENTRE BLVD STE A, MARLTON, NJ 08053-4132
(856) 906-6962
Mailing address
1717 BRIARWOOD DR, SOMERDALE, NJ 08083-2418
(856) 906-6962
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NJ
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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