Individual
JENICE DESTINY MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12399 LEWIS ST STE 202, GARDEN GROVE, CA 92840-4697
(714) 750-0575
Mailing address
12238 CHOISSER RD, GARDEN GROVE, CA 92840-4014
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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