Organization
MARIN AUTISM INTERVENTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON PRIDDY-MARIN (OWNER)
(270) 883-5547
Entity
Organization
Contact information
Practice address
228 EMMANUEL WAY LN, WEBSTER, KY 40176-5037
(270) 883-5547
Mailing address
228 EMMANUEL WAY LN, WEBSTER, KY 40176-5037
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/09/2021
Last updated
02/22/2022
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