Anderson, Marcus Antonio

Anderson, Marcus Antonio is an sole proprietor health care provider with primary practice located at 148 Halleck Ave , Riverside RI 02915-3511. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Anderson, Marcus Antonio can be contacted via phone (140) 164-9308.

Contact Information

Primary practice address
148 Halleck Ave Riverside RI 02915-3511
Phone: (140) 164-9308
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1194599779
LBN Legal business name Anderson, Marcus Antonio
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2023
Last updated Nov 14th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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