Provider / Organization | NPI | Date Certified |
---|---|---|
JULIA RAE DUE MARIANO | 1740942754 | 2021-10-10 |
Julia Rae Due Mariano is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1740942754. Registration indicates Julia Rae Due Mariano is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
Entity Type | Individual |
Provider Name | Julia Rae Due Mariano |
Practice Office Address | 1025 ATLANTIC AVE STE 101 ALAMEDA, CA US |
Practice Office Telephone | 5102688120 |
Mailing Address | 1025 ATLANTIC AVE STE 101 ALAMEDA, CA 945011188 US |
Code | Practice | License No State |
---|---|---|
106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |