Boothe, Marlene Angela

Boothe, Marlene Angela is an sole proprietor health care provider with primary practice located at 2453 Grand Canal Blvd Ste A , Stockton CA 95207-8138. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Boothe, Marlene Angela can be contacted via phone (855) 223-7123.

Contact Information

Primary practice address
2453 Grand Canal Blvd Ste A Stockton CA 95207-8138
Phone: (855) 223-7123
Fax: (619) 374-7134
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1700337839
LBN Legal business name Boothe, Marlene Angela
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2016
Last updated Aug 18th, 2023 - about 3 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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