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NPI Code Detail

MEDICARE: MARIANNE ANTIMIE

MEDICARE: MARIANNE ANTIMIE
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 : 1093665416
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIANNE ANTIMIE
Provider Business Mailing Address
First Line : 2550 N HOLLYWOOD WAY STE 301
Second Line :
City : BURBANK
State : CA
Zip : 91505-5025
Country : US
Telephone Number : 866-727-8274
Fax Number :
Provider Business Practice Location Address
First Line : 1750 E NORTHROP BLVD
Second Line :
City : CHANDLER
State : AZ
Zip : 85286-1710
Country : US
Telephone Number : 866-727-8274
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2026
Last Update Date : 02/03/2026

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Directions to “ MARIANNE ANTIMIE ” Practice Location

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