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NPI Code Detail

MEDICARE: MARISSA JONES NORRIS BCBA

MEDICARE: MARISSA JONES NORRIS BCBA
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 Analyst1-26-88409GA

General Provider Information

NPI Number : 1720789209
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARISSA JONES NORRIS BCBA
Provider Business Mailing Address
First Line : 1565 BEAVERDAM RD
Second Line :
City : WINTERVILLE
State : GA
Zip : 30683-4013
Country : US
Telephone Number : 706-540-9075
Fax Number :
Provider Business Practice Location Address
First Line : PO BOX 360595
Second Line :
City : PITTSBURGH
State : PA
Zip : 15251-6595
Country : US
Telephone Number : 718-215-5311
Fax Number : 718-865-5165
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2023
Last Update Date : 04/01/2026

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Directions to “ MARISSA JONES NORRIS BCBA” Practice Location

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