Individual
MARYSSA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ITDS, RBT
Contact information
Practice address
13121 ATLANTIC BLVD STE 200, JACKSONVILLE, FL 32225-0102
(904) 491-2111
Mailing address
3118 STEEPLE PINE CT, MIDDLEBURG, FL 32068-4384
(253) 906-6733
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-23-319044
FL
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/03/2024
Last updated
04/23/2024
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