Kelisha Mariz Marquez
Behavior Technician in Farmington Hills, MI. Individual provider (NPI-1).
NPI number1235891714
StatusActive
Last updated in NPPESOct 9, 2024
Details
- NPI
- 1235891714
- Entity type
- Individual (NPI-1)
- Name
- Kelisha Mariz Marquez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 12, 2021
- Certification date
- Oct 9, 2024
- Last updated
- Oct 9, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 103TC2200X | Psychologist, Clinical Child & Adolescent | – | – |
Practice location
27777 Inkster RdFarmington Hills, MI 48334-5310
Phone 855-772-8847
Mailing address
27777 Inkster RdFarmington Hills, MI 48334-5310
Phone 855-772-8847
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 33,296 Behavior Technician providers in Farmington Hills · All 39,103 providers in Farmington Hills
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