Marissa Suzanne Tabor
Marissa Suzanne Tabor is a Behavior Technician in Bloomington, Indiana. Licensed in Indiana. Registered with an NPI since 2019.
- Licensed in
- IN
- In the registry since
- 2019
Practice location Address checks out
1501 W Tapp RdBloomington, IN 47403-3459
Phone: (812) 330-4460
Fax: (812) 330-4461
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence RBT-17-33809 (IN) |
|---|
Record details
| NPI number | 1548808348 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 12, 2019 |
| Last updated in NPPES | December 12, 2019 |
| Certification date | December 12, 2019 |
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