Wellformed AI

NPI 1902305535 · live from the CMS NPI Registry

Marissa Lettington

Behavior Analyst in Rochester, MN. National Provider Identifier 1902305535, active.

NPI record

NPI1902305535 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location1470 Industrial Dr Nw, Rochester, MN 55901
Practice phone507-322-7750
EnumeratedFebruary 9, 2018
Last updatedNovember 14, 2023
Sole proprietorYes
Other namesMarissa Sanders

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X1-22-62307 (SD)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.