Mariah Michelle Andersen

Behavior Technician · Vallejo, CA

Individual Active NPI

NPI number 1053938258

Practice location

150 Glen Cove Marina Rd E Ste 102
Vallejo, CA 94591-7237
Phone
(707) 553-1784

Open in Google Maps

NPI record

NPI
1053938258
Entity type
Individual (Type 1)
Enumeration date
July 3, 2020
Last updated
July 3, 2020
Certified
July 3, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — CA

Mailing address

932 Hickory Ave
Fairfield, CA 94533-7002
Phone
(707) 623-7021

About Mariah Andersen

Mariah Michelle Andersen is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 150 Glen Cove Marina Rd E Ste 102, Vallejo, CA 94591-7237. The NPI number 1053938258 was assigned on July 3, 2020 and the record was last updated on July 3, 2020.

Frequently asked questions

What is the NPI number of Mariah Michelle Andersen?

The NPI number is 1053938258.

What is the phone number of Mariah Andersen?

The phone number listed for the practice location is (707) 553-1784.

Where is Mariah Andersen located?

150 Glen Cove Marina Rd E Ste 102, Vallejo, CA 94591-7237.

What is the taxonomy code for Mariah Andersen?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Behavior Technician providers in Vallejo

All Behavior Technician providers in Vallejo, CA →