Amat, Marissa Rose

Amat, Marissa Rose is an individual health care provider with primary practice located at 7373 University Ave Ste 202 , La Mesa CA 91942-0524. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Amat, Marissa Rose can be contacted via phone (619) 713-0737.

Contact Information

Primary practice address
7373 University Ave Ste 202 La Mesa CA 91942-0524
Phone: (619) 713-0737
Fax: (619) 639-8277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 19-85711 California
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-23-69422 California

Profile Details

NPI number 1760990600
LBN Legal business name Amat, Marissa Rose
Credentials MS BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2018
Last updated Nov 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760990600 NPPES
California Other 19-85711 RBT

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