Avagyan, Marine

Avagyan, Marine is an individual health care provider with primary practice located at 150 Glen Cove Marina Rd E Ste 102 , Vallejo CA 94591-7237. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Avagyan, Marine can be contacted via phone (707) 553-1784.

Contact Information

Primary practice address
150 Glen Cove Marina Rd E Ste 102 Vallejo CA 94591-7237
Phone: (707) 553-1784
Fax: (510) 373-1738
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 16-15400 California
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-24-71351 California

Profile Details

NPI number 1245731462
LBN Legal business name Avagyan, Marine
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2018
Last updated Mar 8th, 2024 - 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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