Lexus Marthel

Individual provider Active NPI Behavior Analyst · Williams, CA

NPI 1912470352 · NPPES record last updated Jan 8, 2019

Key facts

NPI
1912470352
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
541 Butte View Dr
Williams, CA 95987-5176
Phone
(707) 720-4623
NPI assigned
Jan 8, 2019
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

541 Butte View Dr
Williams, CA 95987-5176

Mailing address

541 Butte View Dr
Williams, CA 95987-5176

Other providers in Williams, CA

All providers in Williams, CA · Behavior Analyst in California

Sources for this page

Verify at the official NPI Registry.