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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARCUS ANTONIO ANDERSON

Active Sole Proprietor

MARCUS ANTONIO ANDERSON is a Behavior Technician healthcare provider located in RIVERSIDE, Rhode Island. NPI 1194599779 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · RIVERSIDE, RI

Registration Details

NPI Number
1194599779
Provider Type
Individual
Gender
Male
NPI Issued
Nov 14, 2023 (2.7431703577262 yrs)
Last Updated
Nov 14, 2023
Sole Proprietor
Yes

Practice Information

Address
148 HALLECK AVE
RIVERSIDE, RI, 029153511
Browse RI providers · Browse ZIP 02915
Phone
1401649308
Primary Specialty
Behavior Technician
106S00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.