Beverly, Marissa Brynn

Beverly, Marissa Brynn is an sole proprietor health care provider with primary practice located at 12724 Gran Bay Pkwy W Ste 410 , Jacksonville FL 32258-9486. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Beverly, Marissa Brynn can be contacted via phone (855) 832-6727.

Contact Information

Primary practice address
12724 Gran Bay Pkwy W Ste 410 Jacksonville FL 32258-9486
Phone: (855) 832-6727
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1841063153
LBN Legal business name Beverly, Marissa Brynn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 30th, 2023
Last updated Oct 30th, 2023 - about 2 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.

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