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

Marisa Latanya Wedderburn

Individual provider Behavior Technician · NPI 1063367753

Marisa Latanya Wedderburn is a Behavior Technician in Mount Laurel, New Jersey. Licensed in New Jersey. Registered with an NPI since 2026.

Licensed in
NJ
In the registry since
2026

Practice location Address checks out

1001 Briggs Rd Ste 280
Mount Laurel, NJ 08054-4104
Phone: (484) 965-9966
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-26-517569 (NJ)

Record details

NPI number1063367753
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 27, 2026
Last updated in NPPESFebruary 27, 2026
Certification dateFebruary 27, 2026

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