Individual
JENELL MARQUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1633 BAYSHORE HWY STE 155, BURLINGAME, CA 94010-1515
(650) 376-4320
Mailing address
2730 SHADELANDS DR BLDG 10, WALNUT CREEK, CA 94598-2538
(925) 266-8400
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/01/2018
Last updated
03/08/2019
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