Individual
ANTHONY MERTENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-8750
Mailing address
1112 CASTLE OAKS DR, STOCKTON, CA 95210-2030
(209) 406-2702
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
175T00000X
Peer Specialist
Primary
MPSS-HBPDGW
CA
Other
Enumeration date
11/27/2018
Last updated
04/29/2026
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