Marissa Nicole Butcher, is a
Behavior Analyst based in Redlands, California. Marissa Nicole Butcher is licensed to practice in California (license number 1-14 -17496) and her current practice location is
20 W Lugonia Ave, Redlands, California. She can be reached at her office (for appointments etc.) via phone at
(909) 936-8090.
NPI number for Marissa Nicole Butcher is 1023400694 and her current mailing address is 20 W Lugonia Ave, Redlands, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023400694.
Healthcare Provider's Profile
Full Name | Marissa Nicole Butcher |
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Gender | Female |
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Speciality | Behavior Analyst |
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Location | 20 W Lugonia Ave, Redlands, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1023400694
- Provider Enumeration Date: 02/19/2015
- Last Update Date: 06/04/2024
Medical Identifiers
Medical identifiers for Marissa Nicole Butcher such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023400694 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | AMFT146576 (California) | Secondary |
103K00000X | Behavior Analyst | 1-14 -17496 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marissa Nicole Butcher is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Marissa Nicole Butcher, 20 W Lugonia Ave, Redlands, CA 92374-2234 Ph: (909) 307-5300 | Marissa Nicole Butcher, 20 W Lugonia Ave, Redlands, CA 92374-2234 Ph: (909) 936-8090 |
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