Individual
MARISSA WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
301 S VINE ST UNIT 10, URBANA, IL 61801-7404
(224) 298-7462
Mailing address
8609 W BRYN MAWR AVE STE 204, CHICAGO, IL 60631-3524
(773) 644-7787
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-60654
IL
Other
Enumeration date
08/11/2020
Last updated
09/13/2023
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