Mariscal, Angie

Mariscal, Angie is an individual health care provider with primary practice located at 200 7Th Ave Ste 150 , Santa Cruz CA 95062-4669. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Mariscal, Angie can be contacted via phone (831) 462-1060.

Contact Information

Primary practice address
200 7Th Ave Ste 150 Santa Cruz CA 95062-4669
Phone: (831) 462-1060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1346794658
LBN Legal business name Mariscal, Angie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2016
Last updated Aug 4th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346794658 NPPES
California MEDICAID 1578620183

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