Individual
MARISA ANDRES THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1217 WATKINS AVE NE, FORT PAYNE, AL 35967-3017
(256) 516-0553
Mailing address
1217 WATKINS AVE NE, FORT PAYNE, AL 35967-3017
(256) 516-0553
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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