Marques Tyrell Pettaway
Marques Tyrell Pettaway is a Behavior Technician in Rancho Cucamonga, California. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
8287 White Oak AveRancho Cucamonga, CA 91730-7671
Phone: (909) 466-4001
Fax: (888) 311-5333
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1629878442 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 19, 2025 |
| Last updated in NPPES | March 19, 2025 |
| Certification date | March 19, 2025 |
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