Individual
MARISSA LYNN BREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1229 38TH AVE N STE 391, MYRTLE BEACH, SC 29577-1313
(855) 832-6727
(772) 675-9100
Mailing address
704 WESTON DR, CONWAY, SC 29526-7836
(484) 219-5138
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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