Individual
CAITLIN RYAN MARCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
13440 VENTURA BLVD, STE 200, SHERMAN OAKS, CA 91423-3850
(818) 442-0921
Mailing address
13440 VENTURA BLVD, STE 200, SHERMAN OAKS, CA 91423-3850
(818) 442-0921
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BCBA: 1-14-15593
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12670630
CAQH
CA
Enumeration date
03/28/2014
Last updated
01/04/2016
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