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Alicia Marie Marron

Behavior Technician in Wildomar, CA. Individual provider (NPI-1).

NPI number1417602020
StatusActive
Last updated in NPPESApr 20, 2023

Details

NPI
1417602020
Entity type
Individual (NPI-1)
Name
Alicia Marie Marron
Sex
Female
Sole proprietor
No
Enumeration date
Feb 14, 2022
Certification date
Apr 19, 2023
Last updated
Apr 20, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

32395 Clinton Keith Rd Ste B12
Wildomar, CA 92595-7568

Phone 951-200-5532

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807

Phone 818-345-2345

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