Ms. Marissa Gynn, BCBA
Behavior Analyst in Fort Lee, New Jersey
1114243292- Practice location
- 2400 Hudson Ter, 2D, Fort Lee, NJ 07024-3520
- Phone
- 201-264-3790
- Fax
- —
- Last updated
- April 14, 2010
Marissa Gynn is a Behavior Analyst based in Fort Lee, NJ. Marissa Gynn practices in Fort Lee, NJ and has the professional credentials of BCBA. The NPI Number for Marissa Gynn is 1114243292 and holds a License No. 1084359 (NJ). The current practice location address for Marissa Gynn is 2400 Hudson Ter, 2D, Fort Lee, NJ 07024-3520 and can be reached out via phone at 201-264-3790.
Provider Profile Details
- NPI Number
- 1114243292
- Provider Name
- Marissa Gynn
- Credential
- BCBA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2400 Hudson Ter, 2D, Fort Lee, NJ 07024-3520
- Phone Number
- 201-264-3790
- Primary Taxonomy
- Behavior Analyst · 103K00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 14, 2010
- Last Update Date
- April 14, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2400 Hudson Ter
2D
Fort Lee, NJ 07024-3520 - City
- Fort Lee
- State
- New Jersey
- Zip
- 07024-3520
- Phone Number
- 201-264-3790
Provider Business Mailing Address Details
- Address
- 2400 Hudson Ter
2D
Fort Lee, NJ 07024-3520 - City
- Fort Lee
- State
- NJ
- Zip
- 07024-3520
License Information
- License Number
- 1084359
- License State
- NJ
- Taxonomy
- Behavior Analyst · 103K00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Marissa Gynn, BCBA?
The NPI number of Ms. Marissa Gynn, BCBA is 1114243292. It was assigned on April 14, 2010 and is currently active in the NPPES registry.
What is the specialty of Ms. Marissa Gynn, BCBA?
Ms. Marissa Gynn, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in NJ under license number 1084359.
Where does Ms. Marissa Gynn, BCBA practice?
The practice location is 2400 Hudson Ter, 2D, Fort Lee, NJ 07024-3520. The office can be reached at 201-264-3790 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114243292 directly on the NPPES registry website.