Individual provider · NPI-1

Marcus Dean Anaya

Day Training/Habilitation Specialist · Roseville, CA

NPI number1750126868

StatusActive

Last updated in NPPESApr 22, 2025

Details

NPI: 1750126868
Entity type: Individual (NPI-1)
Name: Marcus Dean Anaya
Sex: Male
Sole proprietor: Yes
Enumeration date: Jun 28, 2024
Certification date: Apr 22, 2025
Last updated: Apr 22, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
373H00000X	Day Training/Habilitation Specialist	–	–	Yes
101YM0800X	Counselor, Mental Health	–	–
172V00000X	Community Health Worker	–	–

Practice location

101 Cirby Hills Dr
Roseville, CA 95678-4360

Phone 916-872-6560

Mailing address

806 Equinox Loop
Lincoln, CA 95648-2984

Phone 530-228-6216

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