Marissa Jade Beach

NPI #1609692052 in Cheyenne, Wyoming

Provider Information

NPI Number
1609692052
Entity Type
Individual
Name
Marissa Jade Beach
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Dec 2, 2024
Last Updated
Dec 2, 2024

Practice Location

Address
1603 CAPITOL AVE STE 413C1005
State
Wyoming
ZIP Code
82001-4569
Phone
(307) 364-3181

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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