Jacquez, Maryellie

Jacquez, Maryellie is an individual health care provider with primary practice located at 301 S La Cadena Dr , Colton CA 92324-3419. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Other Service Providers / Community Health Worker. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Jacquez, Maryellie can be contacted via phone (909) 219-5260.

Contact Information

Primary practice address
301 S La Cadena Dr Colton CA 92324-3419
Phone: (909) 219-5260
Fax: (909) 264-3728
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X D5897194 California
Other Service Providers / Community Health Worker 172V00000X California

Profile Details

NPI number 1124519335
LBN Legal business name Jacquez, Maryellie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2018
Last updated Dec 5th, 2025 - about last year

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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