Marissa Bennett, BCBA

Behavior Analyst · Northbrook, IL

Individual Active NPI

NPI number 1952858409

Practice location

666 Dundee Rd Ste 1605
Northbrook, IL 60062-2738
Phone
(847) 495-2640
Fax
(473) 242-1848

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NPI record

NPI
1952858409
Entity type
Individual (Type 1)
Enumeration date
September 1, 2016
Last updated
September 28, 2023
Certified
September 28, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 1-15-18740 IL

About Marissa Bennett

Marissa Bennett, BCBA is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 666 Dundee Rd Ste 1605, Northbrook, IL 60062-2738. The NPI number 1952858409 was assigned on September 1, 2016 and the record was last updated on September 28, 2023.

Marissa Bennett lists a license in the registry: #1-15-18740 (IL) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Marissa Bennett, BCBA?

The NPI number is 1952858409.

What is the phone number of Marissa Bennett?

The phone number listed for the practice location is (847) 495-2640.

Where is Marissa Bennett located?

666 Dundee Rd Ste 1605, Northbrook, IL 60062-2738.

What is the taxonomy code for Marissa Bennett?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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