Individual provider · NPI-1

Marissa Drew Thweatt, RBT

Behavior Analyst · Lexington, TN

NPI number1639822745
StatusActive
Last updated in NPPESApr 26, 2023

Details

NPI
1639822745
Entity type
Individual (NPI-1)
Name
Ms. Marissa Drew Thweatt
Credential
RBT
Sex
Female
Sole proprietor
No
Enumeration date
Jan 28, 2022
Certification date
Apr 26, 2023
Last updated
Apr 26, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes
106S00000X Behavior Technician––

Practice location

530 Scarce Creek Rd
Lexington, TN 38351-8561

Phone 731-610-3684

Mailing address

530 Scarce Creek Rd
Lexington, TN 38351-8561

Phone 731-610-3684

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