Evans, Marissa
Evans, Marissa is an individual health care provider with primary practice located at 2387 Huntcrest Way , Lawrenceville GA 30043-8126. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Evans, Marissa can be contacted via phone (678) 648-7644.Contact Information
Primary practice address
2387 Huntcrest Way
Lawrenceville GA 30043-8126
Phone: (678) 648-7644
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-22-60650 | Georgia |
Profile Details
| NPI number | 1750906822 |
|---|---|
| LBN Legal business name | Evans, Marissa |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2020 |
| Last updated | Feb 21st, 2024 - about 2 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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