Individual
MARILYN MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
713 W COMMONWEALTH AVE, SUITE C, FULLERTON, CA 92832-1612
(714) 879-4274
(714) 879-2274
Mailing address
713 W COMMONWEALTH AVE STE C, FULLERTON, CA 92832-1612
(714) 879-4274
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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