Marina Amezquita

Individual provider Active NPI Behavior Technician · San Tan Valley, AZ

NPI 1306775747 · NPPES record last updated May 13, 2026

Key facts

NPI
1306775747
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
D07968767 (AZ)
Practice address
31298 N Watkins LN
San Tan Valley, AZ 85143-4042
Phone
(480) 277-4176
Fax
(480) 277-4176
NPI assigned
May 13, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
D07968767AZMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X D07968767 AZ Yes

Addresses

Primary practice location

31298 N Watkins LN
San Tan Valley, AZ 85143-4042

Mailing address

31298 N Watkins LN
San Tan Valley, AZ 85143-4042

Other providers in San Tan Valley, AZ

All providers in San Tan Valley, AZ · Behavior Technician in Arizona

Sources for this page

Verify at the official NPI Registry.