Provider Demographics
NPI:1508213117
Name:MARQUETTI, JOSE (RBT)
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:
Last Name:MARQUETTI
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14204 SW 289TH TER
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-2988
Mailing Address - Country:US
Mailing Address - Phone:786-367-9290
Mailing Address - Fax:
Practice Address - Street 1:14204 SW 289TH TER
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-2988
Practice Address - Country:US
Practice Address - Phone:786-367-9290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-24
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician