Marissa Edison

NPI #1962376772 in Kokomo, Indiana

Provider Information

NPI Number: 1962376772
Entity Type: Individual
Name: Marissa Edison
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Oct 3, 2025
Last Updated: Oct 3, 2025

Practice Location

Address: 1558 E BOULEVARD STE A
City: Kokomo
State: Indiana
ZIP Code: 46902-2587
Phone: (765) 252-0530

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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