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

Marissa Nicole Smith

Individual provider Behavior Technician · NPI 1124659586

Marissa Nicole Smith is a Behavior Technician in Moorpark, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020

Practice location Address checks out

50 Majestic Ct Apt 408
Moorpark, CA 93021-4111
Phone: (818) 963-1249
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CA)

Record details

NPI number1124659586
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 3, 2020
Last updated in NPPESFebruary 3, 2020
Certification dateFebruary 3, 2020
Mailing address879 W 190th St Ste 400, Gardena, CA 90248-4223

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