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Marlene Angela Boothe
Student in an Organized Health Care Education/Training Program in Stockton, California
NPI 1700337839

Marlene Angela Boothe is a Student in an Organized Health Care Education/Training Program based in San Diego, CA. Marlene Angela Boothe practices in Stockton, CA. The NPI Number for Marlene Angela Boothe is 1700337839 and holds a License No. (California).

The current practice location address for Marlene Angela Boothe is 2453 Grand Canal Blvd Ste A, Stockton, CA and can be reached out via phone at 855-223-7123 and via fax at 619-374-7134. You can also correspond with Marlene Angela Boothe through the mailing address at PO BOX 33568, SAN DIEGO, CA - 92163-3568 (mailing address contact number: 855-223-7123).

Location: 2453 Grand Canal Blvd Ste A, Stockton, CA, 92163-3568
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700337839
Provider Name
Marlene Angela Boothe
Credential
Provider Entity Type
Individual
Gender
Female
Address
2453 Grand Canal Blvd Ste A, Stockton, CA, 92163-3568
Phone Number
855-223-7123
Fax Number
619-374-7134
Provider Enumeration Date
10/24/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2453 Grand Canal Blvd Ste A
City
Stockton
State
California
Zip
95207-8138
Phone Number
855-223-7123
Fax Number
619-374-7134
person
Provider Business Mailing Address Details
Address
2453 Grand Canal Blvd Ste A
City
Stockton
State
California
Zip
95207-8138
Phone Number
855-223-7123
Fax Number
619-374-7134
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Behavior Technician
Speciality
-
Taxonomy
106S00000X
License No.
()
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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