Marissa Wesley

NPI #1124782073 in Benbrook, Texas

Provider Information

NPI Number: 1124782073
Entity Type: Individual
Name: Marissa Wesley
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Oct 27, 2021
Last Updated: Oct 27, 2021

Practice Location

Address: 6211 SOUTHWEST BLVD
City: Benbrook
State: Texas
ZIP Code: 76132-1080
Phone: (817) 249-8100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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