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

Marissa Scudamore

Individual provider Behavior Technician · NPI 1861965584

Marissa Scudamore is a Behavior Technician in Chula Vista, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1950 Wolf Canyon Loop
Chula Vista, CA 91913-4342
Phone: (619) 482-8877
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Psychologist (primary) Taxonomy 103TS0200X · Licence 220171100 (CA)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1861965584
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 4, 2019
Last updated in NPPESDecember 18, 2024
Certification dateDecember 18, 2024

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