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

Mariah Michelle Andersen

Individual provider Behavior Technician · NPI 1053938258

Mariah Michelle Andersen is a Behavior Technician in Vallejo, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020

Practice location Address checks out

150 Glen Cove Marina Rd E Ste 102
Vallejo, CA 94591-7237
Phone: (707) 553-1784
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CA)

Record details

NPI number1053938258
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 3, 2020
Last updated in NPPESJuly 3, 2020
Certification dateJuly 3, 2020
Mailing address932 Hickory Ave, Fairfield, CA 94533-7002

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