Cook, Marissa
Cook, Marissa is an individual health care provider with primary practice located at 1209 W 1St Ave , Spokane WA 99201. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Cook, Marissa can be contacted via phone (509) 995-3388.Contact Information
Primary practice address
1209 W 1St Ave
Spokane WA 99201
Phone: (509) 995-3388
Fax: (509) 321-4350
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Assistant Behavior Analyst | 106E00000X | AB61511498 | Washington |
Profile Details
| NPI number | 1609407261 |
|---|---|
| LBN Legal business name | Cook, Marissa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2020 |
| Last updated | Mar 19th, 2024 - about 8 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609407261 | NPPES |
| Washington | MEDICAID | 2100815 |
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