| Provider / Organization | NPI | Date Certified |
|---|---|---|
| YADIRA JAZIME MARQUEZ | 1871102962 | 2020-07-24 |
Yadira Jazime Marquez is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1871102962. Registration indicates Yadira Jazime Marquez 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 | Yadira Jazime Marquez |
| Practice Office Address | 1880 FAIRWAY DR SAN LEANDRO, CA US |
| Practice Office Telephone | 9167293098 |
| Mailing Address | 1880 FAIRWAY DR SAN LEANDRO, CA 945775629 US |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |