Harris, Marissa Paige

Harris, Marissa Paige is an individual health care provider with primary practice located at 352 State Street , North Haven CT 06473-2550. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Harris, Marissa Paige can be contacted via phone (203) 781-4600.

Contact Information

Primary practice address
352 State Street North Haven CT 06473-2550
Phone: (203) 781-4600
Fax: (203) 781-4624
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1511 Connecticut
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1134635030
LBN Legal business name Harris, Marissa Paige
Credentials LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2017
Last updated Aug 25th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134635030 NPPES
Connecticut MEDICAID 008022626
Connecticut MEDICAID 008120650
Connecticut MEDICAID 500000315
Connecticut MEDICAID 008056168
Connecticut MEDICAID 004082286

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