Marc Gerald Bantay De Guia
Behavior Technician in Jamestown, ND. Individual provider (NPI-1).
NPI number1285447243
StatusActive
Last updated in NPPESJan 31, 2025
Details
- NPI
- 1285447243
- Entity type
- Individual (NPI-1)
- Name
- Marc Gerald Bantay De Guia
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 31, 2025
- Certification date
- Jan 31, 2025
- Last updated
- Jan 31, 2025
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 |
Practice location
701 3rd St NwJamestown, ND 58401-2963
Phone 701-840-3534
Mailing address
6312 College LnJamestown, ND 58405-1003
Other practice locations
701 3rd St Nw
Jamestown, ND 58401-2963
Jamestown, ND 58401-2963
Phone 701-840-3534
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 31 Behavior Technician providers in Jamestown · All 802 providers in Jamestown
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