Most Relevant Information
Provider Data
NPI Number: | 1003290172 |
Provider Name: | VIVINET Y MARQUEZ-MARTINEZ MS, BCBA |
Entity Type: | Individual |
Taxonomy Code: | 103K00000X |
Specialty: | Behavior Analyst |
License Number: | BA61231380 |
Most Important Dates
Enumeration Date: | 07/17/2015 |
Last Updated: | 03/07/2022 |
Provider Practice Location
125 EASY ST
WENATCHEE
WA
988015903
Practice Location Phone/Fax
Phone: | 3605251990 |
Fax: |
Provider Mailing Location
125 EASY ST
WENATCHEE
WA
988015903
Provider Mailing Phone/Fax
Phone: | 3605251990 |
Fax: |