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NPI Code Detail

MEDICARE: MARKEITA HATTER

MEDICARE: MARKEITA HATTER
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
1390200000XStudent in an Organized Health Care Education/Training Program
2103K00000XBehavior Analyst12259772CA

General Provider Information

NPI Number : 1033594692
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARKEITA HATTER
Provider Business Mailing Address
First Line : PO BOX 33568
Second Line :
City : SAN DIEGO
State : CA
Zip : 92163-3568
Country : US
Telephone Number : 855-223-7123
Fax Number : 619-374-7134
Provider Business Practice Location Address
First Line : 1295 CORONA POINTE CT STE 102
Second Line :
City : CORONA
State : CA
Zip : 92879-1721
Country : US
Telephone Number : 855-223-7123
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2015
Last Update Date : 10/08/2024

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Directions to “ MARKEITA HATTER ” Practice Location

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