Individual
IRIDIAN RAFAELA MARQUINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3775 VENTURE DR STE M101, DULUTH, GA 30096-5217
(470) 610-4222
Mailing address
187 GREEN BRIDGE CT, LAWRENCEVILLE, GA 30046-9473
(770) 771-2743
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-26-87291
GA
106S00000X
Behavior Technician
BACB702046
GA
Other
Enumeration date
07/29/2021
Last updated
01/28/2026
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