NPI 1003319633

Marissa Walten, RBT

Practitioner Behavior Technician Stockton, CA

Practice location

Address: 5250 Claremont Ave # 135, Stockton, CA 95207-5700
Phone: (818) 241-6780
Mailing address: 1055 E Colorado Blvd STE 560, Pasadena, CA 91106-2380

Registered specialties (2)

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence 1745543 (CA)

Other Behavior Technician providers in California →

Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence 17-45543 (CA)

Registry record

NPI: 1003319633
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Mar 2018
Record last updated: 6 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.