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: |