Maretta McKenzie
Behavior Technician in Riverside, CA. Individual provider (NPI-1).
NPI number1497430342
StatusActive
Last updated in NPPESJun 19, 2023
Details
- NPI
- 1497430342
- Entity type
- Individual (NPI-1)
- Name
- Maretta McKenzie
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 19, 2023
- Certification date
- Jun 19, 2023
- Last updated
- Jun 19, 2023
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
1650 Spruce St Ste 102Riverside, CA 92507-7403
Phone 951-357-6926 · Fax 855-568-2494
Mailing address
1650 Spruce St Ste 102Riverside, CA 92507-7403
Phone 951-357-6926 · Fax 855-568-2494
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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