Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marisa Mattingly

Individual provider Behavior Technician · NPI 1053295212

Marisa Mattingly is a Behavior Technician in Hattiesburg, Mississippi. Licensed in Mississippi. Registered with an NPI since 2025.

Licensed in
MS
In the registry since
2025

Practice location Address checks out

4229 U S Highway 11
Hattiesburg, MS 39402-8024
Phone: (601) 447-4658
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 25451431 (MS)

Record details

NPI number1053295212
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 1, 2025
Last updated in NPPESAugust 1, 2025
Certification dateAugust 1, 2025
Mailing address4229 U S Highway 11, Hattiesburg, MS 39402-8024

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