Individual
DR. MICHAEL MARROQUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D, BCBA-D
Contact information
Practice address
26062 73RD AVE, GLEN OAKS, NY 11004-1030
(917) 373-3041
Mailing address
26062 73RD AVE, GLEN OAKS, NY 11004-1030
(917) 373-3041
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000035-1
NY
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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