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NPI Code Detail

MEDICARE: MARITZA MARIN

MEDICARE: MARITZA MARIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1457207417
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARITZA MARIN
Provider Business Mailing Address
First Line : 16600 SHERMAN WAY STE 178
Second Line :
City : VAN NUYS
State : CA
Zip : 91406-3875
Country : US
Telephone Number : 818-235-1414
Fax Number :
Provider Business Practice Location Address
First Line : 16600 SHERMAN WAY STE 178
Second Line :
City : VAN NUYS
State : CA
Zip : 91406-3875
Country : US
Telephone Number : 818-235-1414
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2026
Last Update Date : 03/10/2026

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Directions to “ MARITZA MARIN ” Practice Location

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