Evanson, Marisa Eileen
Evanson, Marisa Eileen is an individual health care provider with primary practice located at 2127 W Orangewood Ave Ste B , Orange CA 92868-1978. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Evanson, Marisa Eileen can be contacted via phone (714) 634-8500.Contact Information
Primary practice address
2127 W Orangewood Ave Ste B
Orange CA 92868-1978
Phone: (714) 634-8500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | BCBA #1-10-6939 | California |
Profile Details
| NPI number | 1770847253 |
|---|---|
| LBN Legal business name | Evanson, Marisa Eileen |
| Credentials | M.S., BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2012 |
| Last updated | Jun 28th, 2012 - about 12 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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