Individual provider · Type 1 NPI

Marissa Lee Edwards

Behavior Technician · Vacaville, CA

NPI number 1275494510 Active

Practice location

183 Butcher Rd Ste B
Vacaville, CA 95687-5691

Call (707) 724-6810 Map

Fax (855) 726-5366

Mailing address

30 Illinois St
Travis Afb, CA 94535-1407

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1275494510

Marissa Lee Edwards's National Provider Identifier is 1275494510, issued on Nov 18, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Vacaville, CA. The record was last updated on Nov 18, 2025.