Marlon Rashaad Collins
Behavior Technician in San Bernardino, CA. Individual provider (NPI-1).
NPI number1023640554
StatusActive
Last updated in NPPESFeb 12, 2020
Details
- NPI
- 1023640554
- Entity type
- Individual (NPI-1)
- Name
- Marlon Rashaad Collins
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 12, 2020
- Certification date
- Feb 12, 2020
- Last updated
- Feb 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
325 W Hospitality Ln Ste 104San Bernardino, CA 92408-3210
Phone 909-266-2700
Mailing address
325 W Hospitality Ln Ste 104San Bernardino, CA 92408-3210
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