Edwards, Marissa
Edwards, Marissa is an sole proprietor health care provider with primary practice located at 10715 Spotsylvania Ave , Fredericksburg VA 22408-2674. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Edwards, Marissa can be contacted via phone (540) 339-3640.Contact Information
Primary practice address
10715 Spotsylvania Ave
Fredericksburg VA 22408-2674
Phone: (540) 339-3640
Fax: (540) 898-1040
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-16-23729 | Virginia |
Profile Details
| NPI number | 1538696125 |
|---|---|
| LBN Legal business name | Edwards, Marissa |
| Credentials | BCBA, LBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 15th, 2017 |
| Last updated | Apr 4th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538696125 | NPPES |
| Virginia | Other | 1-16-23729 | BACB |
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