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

Miss. Mariah Nicole Randolph

Individual provider Behavior Analyst · NPI 1083357396

Miss. Mariah Nicole Randolph is a Behavior Analyst in Stockton, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

1811 Grand Canal Blvd Ste 2
Stockton, CA 95207-8107
Phone: (877) 418-2978
Show map & directions

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

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X (CA)

Record details

NPI number1083357396
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 14, 2022
Last updated in NPPESApril 14, 2022
Certification dateApril 14, 2022

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