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General NPI Number Information
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NPI Number | 1194644583
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Entity Type | Individual
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Provider Name | JULISSA J MARQUEZ
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Gender | Female
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Dates
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Enumeration Date | 07/10/2026
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Last Update Date | 07/10/2026
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Provider Practice Location Address
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Address Line | 724 W CLINTON AVE
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City | FRESNO
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State | CA
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Zip | 93705-4512
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Country | US
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Telephone | 559-396-8177
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Fax |
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Provider Business Mailing Address
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Address Line | 4767 E LIBERTY AVE
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City | FRESNO
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State | CA
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Zip | 93702-3915
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Country | US
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Telephone | 559-396-8177
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1194493049
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License Number State | CA
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