Richard Javier Marin

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

196 Thomas Johnson Dr Ste 135
Frederick, MD 21702-4518

Phone

(301) 200-5639

NPI assigned

May 28, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1295575231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 DUNBARTON ST",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254141748",
            "telephone_number": "240-626-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 THOMAS JOHNSON DR STE 135",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024518",
            "telephone_number": "301-200-5639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIN",
        "first_name": "RICHARD",
        "middle_name": "JAVIER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gennaro Marenga, PMHNP-BC
• Marybeth Mareski
• Margie Brubaker LLC
• Marianne Riley Psychotherapy LLC
• Maritza Marin, LGSW
• Natalia Marina, M.D.
• Caprice Marjenin, D.D.S.
• Mark Palmisano, PHD P a
• Mark Springston, PHD
• Mark X Coyne MD PA

• Behavior Technician in Frederick, MD
• Providers in Frederick, MD by specialty
• Behavior Technician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.