Mari Dessa Calhoun
Individual provider Active NPI Behavior Technician · San Diego, CA
NPI 1619786308 · NPPES record last updated Jan 6, 2025
Key facts
- NPI
- 1619786308
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2188 Gill Village Way Apt 809
San Diego, CA 92108-5571 - Phone
- (619) 855-2321
- NPI assigned
- Jan 6, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excel at Being You LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
2188 Gill Village Way Apt 809
San Diego, CA 92108-5571
Mailing address
2188 Gill Village Way Apt 809
San Diego, CA 92108-5571
Phone (619) 855-2321
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All providers in San Diego, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.