Kristin Marae
Behavior Technician in San Diego, CA. Individual provider (NPI-1).
NPI number1164040796
StatusActive
Last updated in NPPESJul 9, 2020
Details
- NPI
- 1164040796
- Entity type
- Individual (NPI-1)
- Name
- Kristin Marae
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 9, 2020
- Certification date
- Jul 9, 2020
- Last updated
- Jul 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
11650 Iberia Pl Ste 130San Diego, CA 92128-2431
Phone 858-264-5858
Mailing address
11650 Iberia Pl Ste 130San Diego, CA 92128-2431
Phone 858-264-5858
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