Tabor, Marissa Suzanne

Tabor, Marissa Suzanne is an individual health care provider with primary practice located at 1501 W Tapp Rd , Bloomington IN 47403-3459. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Tabor, Marissa Suzanne can be contacted via phone (812) 330-4460.

Contact Information

Primary practice address
1501 W Tapp Rd Bloomington IN 47403-3459
Phone: (812) 330-4460
Fax: (812) 330-4461
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-17-33809 Indiana

Profile Details

NPI number 1548808348
LBN Legal business name Tabor, Marissa Suzanne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2019
Last updated Dec 12th, 2019 - about 7 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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