Marcus Antonio Anderson
NPI #1194599779 in Riverside, Rhode Island
Provider Information
- NPI Number
- 1194599779
- Entity Type
- Individual
- Name
- Marcus Antonio Anderson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Nov 14, 2023
- Last Updated
- Nov 14, 2023
Practice Location
- Address
- 148 HALLECK AVE
- City
- Riverside
- State
- Rhode Island
- ZIP Code
- 02915-3511
- Phone
- (140) 164-9308
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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