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NPI Code Detail

MEDICARE: KRISTI MARMOL

MEDICARE: KRISTI MARMOL
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 TechnicianRBT25-474989FL

General Provider Information

NPI Number : 1629958939
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTI MARMOL
Provider Business Mailing Address
First Line : 1333 S MAYFLOWER AVE STE 220
Second Line :
City : MONROVIA
State : CA
Zip : 91016-5239
Country : US
Telephone Number : 818-241-6780
Fax Number : 888-588-2752
Provider Business Practice Location Address
First Line : 6250 HAZELTINE NATIONAL DR STE 106
Second Line :
City : ORLANDO
State : FL
Zip : 32822-5102
Country : US
Telephone Number : 855-295-3276
Fax Number : 888-588-2752
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2025
Last Update Date : 03/06/2026

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Directions to “ KRISTI MARMOL ” Practice Location

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