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NPI Code Detail

MEDICARE: MARISSA BRIGGS

MEDICARE: MARISSA BRIGGS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior AnalystNV

General Provider Information

NPI Number : 1790221042
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARISSA BRIGGS
Provider Business Mailing Address
First Line : 3315 SPRING MOUNTAIN RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-8603
Country : US
Telephone Number : 702-754-3484
Fax Number :
Provider Business Practice Location Address
First Line : 3315 SPRING MOUNTAIN RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-8603
Country : US
Telephone Number : 702-754-3484
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2017
Last Update Date : 01/10/2017

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Directions to “ MARISSA BRIGGS ” Practice Location

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