Most Relevant Information
Provider Data
| NPI Number: | 1003409178 |
| Provider Name: | JOHANNA MARQUEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/18/2021 |
| Last Updated: | 02/18/2021 |
Provider Practice Location
14427 MERIDIAN PKWY
RIVERSIDE
CA
925183014
Practice Location Phone/Fax
| Phone: | 8555810100 |
| Fax: | 8553293973 |
Provider Mailing Location
2080 N TUSTIN AVE STE B
SANTA ANA
CA
927057875
Provider Mailing Phone/Fax
| Phone: | 8555810100 |
| Fax: | 8553293973 |