NPI 1053295212

Marisa Mattingly

Practitioner Behavior Technician Hattiesburg, MS

Practice location

Address: 4229 U S Highway 11, Hattiesburg, MS 39402-8024
Phone: (601) 447-4658

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence 25451431 (MS)

Other Behavior Technician providers in Mississippi →

Registry record

NPI: 1053295212
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Aug 2025
Record last updated: 1 Aug 2025

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.