Maryssa Edwards
Maryssa Edwards is a Behavior Technician in Fort Worth, Texas. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
4917 Golden Triangle Blvd Ste 411Fort Worth, TX 76244-4480
Phone: (817) 734-6515
Fax: (817) 717-8584
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1093401721 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 14, 2023 |
| Last updated in NPPES | April 14, 2023 |
| Certification date | April 14, 2023 |
| Mailing address | 11508 Crystal Falls Dr, Fort Worth, TX 76244-7791 |
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