Marissa Wonson

Individual provider Active NPI Behavior Technician · Pembroke, NH

NPI 1922921600 · NPPES record last updated Jul 31, 2026

Key facts

NPI
1922921600
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
476C Par Dr Unit 317
Pembroke, NH 03275-3280
Phone
(978) 321-6953
NPI assigned
Jul 31, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

476C Par Dr Unit 317
Pembroke, NH 03275-3280

Mailing address

3415 Bataan Memorial W
Las Cruces, NM 88012-5012
Phone (505) 392-3482

Other providers in Pembroke, NH

All providers in Pembroke, NH · Behavior Technician in New Hampshire

Sources for this page

Verify at the official NPI Registry.