Marissa Bennett, BCBA

NPI 1952858409 · on the registry since 2016 · sole proprietor

Practice

Address: 666 Dundee Rd Ste 1605
Northbrook, IL 60062
Phone: (847) 495-2640
Fax: (473) 242-1848
Organisation at this address: Kelly Gorz Llc
Elena Koles, M.D.
Md Infusions, Pllc
Medstream Corporation
Healthy Constellations
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 57

Registry record

Primary taxonomy: Behavior Analyst
103K00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-09-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois