Gillen-Davis, Marissa Jacquline

Gillen-Davis, Marissa Jacquline is an individual health care provider with primary practice located at 560 Sylvan Ave Ste 2048 , Englewood Cliffs NJ 07632-3165. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Gillen-Davis, Marissa Jacquline can be contacted via phone (888) 517-8377.

Contact Information

Primary practice address
560 Sylvan Ave Ste 2048 Englewood Cliffs NJ 07632-3165
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X LBA1445 Maryland

Profile Details

NPI number 1639672272
LBN Legal business name Gillen-Davis, Marissa Jacquline
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2018
Last updated Oct 23rd, 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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