MEDICARE: MARISSA CHUNN 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
1	103K00000X	Behavior Analyst	1-14-15380	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982023834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARISSA CHUNN BCBA

Provider Business Mailing Address
First Line	:	8016 ATLANTIC BLVD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32211-8751
Country	:	US
Telephone Number	:	904-329-3317
Fax Number	:	904-329-3318

Provider Business Practice Location Address
First Line	:	2015 DOCTORS LAKE DR
Second Line	:
City	:	ORANGE PARK
State	:	FL
Zip	:	32073-5410
Country	:	US
Telephone Number	:	904-644-8632
Fax Number	:	904-644-8753

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2014
Last Update Date	:	04/08/2014

Similar Medicare Providers

1174798433 — ORANGE COUNTY NEWBORN MEDICARE CARE PC
Practice Location Address:

3 SAINT STEPHENS PL , SUITE 2
WARWICK, NY
10990-3208

Practice Phone: 845-987-9700
Practice Fax:

1144371899 — MS. CHARLENE W. MASON-REESE LCSW
Practice Location Address:

31 NEWFIELD ST , #2
EAST ORANGE, NJ
07017-5410

Practice Phone: 201-725-1807
Practice Fax: 908-820-4290

1275840332 — KITCHEN TABLE THERAPY, LLC
Practice Location Address:

31 NEWFIELD STREET
EAST ORANGE, NJ
07017-5410

Practice Phone: 201-725-1807
Practice Fax:

1881400844 — DR. JONATHAN REYES CARTAGENA
Practice Location Address:

5410 S WILLIAMSON BLVD APT 6-104
PORT ORANGE, FL
32128-7368

Practice Phone: 787-362-8584
Practice Fax:

1235136813 — CARLOS N PATALINGHUG SR. M.D.
Practice Location Address:

5410 RITCHIE HWY , STE B
BROOKLYN PARK, MD
21225-3069

Practice Phone: 410-354-4100
Practice Fax: 410-354-4350

1821099300 — ODYSSEY HEALTHCARE OPERATING B LP
Practice Location Address:

700 INERSTATE PARK DRIVE , SUITE 705
MONTGOMERY, AL
36109-5410

Practice Phone: 334-213-1119
Practice Fax: 334-213-6456

Directions to “ MARISSA CHUNN BCBA” 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.