Andres Marsenaro
Behavior Technician in Draper, UT. Individual provider (NPI-1).
NPI number1124609367
StatusActive
Last updated in NPPESApr 19, 2021
Details
- NPI
- 1124609367
- Entity type
- Individual (NPI-1)
- Name
- Andres Marsenaro
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 19, 2021
- Certification date
- Apr 19, 2021
- Last updated
- Apr 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
12222 S 1000 E Ste 3Draper, UT 84020-3203
Phone 801-987-3592
Mailing address
12222 S 1000 E Ste 3Draper, UT 84020-3203
Phone 801-987-3592
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