DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MARISSA WELLS

MEDICARE: MARISSA WELLS
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
1222Q00000XDevelopmental Therapist
2103K00000XBehavior Analyst1-23-68063IN

General Provider Information

NPI Number : 1366910721
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARISSA WELLS
Provider Business Mailing Address
First Line : 3500 DEPAUW BLVD STE 3070
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-6135
Country : US
Telephone Number : 855-324-0885
Fax Number : 317-520-8200
Provider Business Practice Location Address
First Line : 1558 E BOULEVARD STE A
Second Line :
City : KOKOMO
State : IN
Zip : 46902-2587
Country : US
Telephone Number : 765-252-0530
Fax Number : 317-520-8200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2018
Last Update Date : 09/13/2023

Similar Medicare Providers

1295694982 — JAYCE LYNN CHAMBERS
Practice Location Address:
1558 E BOULEVARD STE A
KOKOMO, IN
46902-2587
Practice Phone: 765-252-0530
Practice Fax:
1285593970 — BRAYAN ARIAS
Practice Location Address:
1558 E BOULEVARD STE A
KOKOMO, IN
46902-2587
Practice Phone: 765-252-0530
Practice Fax:
1558246660 — SHAWNA LEIGH BAUGH
Practice Location Address:
1558 E BOULEVARD STE A
KOKOMO, IN
46902-2587
Practice Phone: 765-252-0530
Practice Fax: 317-520-8200
1669339826 — MACKENZIE UPDEGRAFF
Practice Location Address:
1558 E BOULEVARD STE A
KOKOMO, IN
46902-2587
Practice Phone: 765-252-0530
Practice Fax:
1629215496 — DR. TEVA LEIGH TURNER PT, DPT
Practice Location Address:
1558 E BOULEVARD STE E
KOKOMO, IN
46902-2587
Practice Phone: 765-865-8705
Practice Fax: 765-865-8706
1659912343 — RYLEY ANN BUSHONG MA, BCBA
Practice Location Address:
1558 E BOULEVARD STE A
KOKOMO, IN
46902-2587
Practice Phone: 765-252-0530
Practice Fax: 317-520-8200

Directions to “ MARISSA WELLS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.