Individual
MARISA MARGARET EDMONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
527 N MAPLE ST, MURFREESBORO, TN 37130-2833
(615) 564-4984
(877) 866-6752
Mailing address
527 N MAPLE ST, MURFREESBORO, TN 37130-2833
(615) 564-4984
(877) 866-6752
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-42544
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/05/2020
Last updated
06/14/2020
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