Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marc Fajardo

Individual provider Behavior Technician · NPI 1619624764

Marc Fajardo is a Behavior Technician in Valley Village, California. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

5352 Laurel Canyon Blvd Ste 100
Valley Village, CA 91607-4923
Phone: (747) 254-1154
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1619624764
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 8, 2022
Last updated in NPPESMarch 8, 2022
Certification dateMarch 8, 2022
Mailing address21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807

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