Marissa Jade Beach
Marissa Jade Beach is a Behavior Technician in Cheyenne, Wyoming. Licensed in Wyoming. Registered with an NPI since 2024.
- Licensed in
- WY
- In the registry since
- 2024
Practice location Address checks out
1603 Capitol Ave Ste 413C1005Cheyenne, WY 82001-4569
Phone: (307) 364-3181
Fax: (855) 915-1521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence RBT-24-396396 (WY) |
|---|
Record details
| NPI number | 1609692052 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 2, 2024 |
| Last updated in NPPES | December 2, 2024 |
| Certification date | December 2, 2024 |
| Mailing address | 2390 Wedgewood Dr Unit 6250, Akron, OH 44312-2479 |
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