Stordahl, Marissa Laurel
Stordahl, Marissa Laurel is an individual health care provider with primary practice located at 5654 Garden Hills Ln , Saint Cloud MN 56301-3412. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Stordahl, Marissa Laurel can be contacted via phone (320) 491-4768.Contact Information
Primary practice address
5654 Garden Hills Ln
Saint Cloud MN 56301-3412
Phone: (320) 491-4768
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1275144388 |
|---|---|
| LBN Legal business name | Stordahl, Marissa Laurel |
| Credentials | MS, BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2020 |
| Last updated | Aug 12th, 2020 - about 4 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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