Martin Quinn Marquez-Wilson
Behavior Technician in El Segundo, CA. Individual provider (NPI-1).
NPI number1548038482
StatusActive
Last updated in NPPESDec 19, 2023
Details
- NPI
- 1548038482
- Entity type
- Individual (NPI-1)
- Name
- Martin Quinn Marquez-Wilson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 19, 2023
- Certification date
- Dec 19, 2023
- Last updated
- Dec 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
100 N Pacific Coast Hwy Ste 1400El Segundo, CA 90245-5602
Phone 310-856-0800 · Fax 855-568-2494
Mailing address
100 N Pacific Coast Hwy Ste 1400El Segundo, CA 90245-5602
Phone 310-856-0800 · 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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All 5,443 Behavior Technician providers in El Segundo · All 6,342 providers in El Segundo
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