Marcus Dunnick

Individual provider Active NPI Behavior Analyst · Stanton, CA

NPI 1477119147 · NPPES record last updated Jun 11, 2019

Key facts

NPI
1477119147
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
12235 Beach Blvd Ste 100
Stanton, CA 90680-3943
Phone
(714) 202-0118
NPI assigned
May 17, 2019
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Active Steps Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

12235 Beach Blvd Ste 100
Stanton, CA 90680-3943

Mailing address

12235 Beach Blvd Ste 100
Stanton, CA 90680-3943
Phone (714) 202-0118

Other providers in Stanton, CA

All providers in Stanton, CA · Behavior Analyst in California

Sources for this page

Verify at the official NPI Registry.