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NPI Code Detail

MEDICARE: SARAI MARCELIN MA

MEDICARE: SARAI MARCELIN MA
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
2103K00000XBehavior AnalystBACB246040CA

General Provider Information

NPI Number : 1649788787
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAI MARCELIN MA
Provider Business Mailing Address
First Line : 562 W GRAND AVE
Second Line :
City : ESCONDIDO
State : CA
Zip : 92025-2502
Country : US
Telephone Number : 760-691-9622
Fax Number : 442-999-5740
Provider Business Practice Location Address
First Line : 562 W GRAND AVE
Second Line :
City : ESCONDIDO
State : CA
Zip : 92025-2502
Country : US
Telephone Number : 760-691-9622
Fax Number : 442-999-5740
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2018
Last Update Date : 10/24/2022

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Directions to “ SARAI MARCELIN MA” Practice Location

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