Provider Demographics
NPI:1821544768
Name:SWINTON, ANTIONE MARQUIS
Entity Type:Individual
Prefix:
First Name:ANTIONE
Middle Name:MARQUIS
Last Name:SWINTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6270 YAKIMA CT
Mailing Address - Street 2:
Mailing Address - City:SUN VALLEY
Mailing Address - State:NV
Mailing Address - Zip Code:89433-6615
Mailing Address - Country:US
Mailing Address - Phone:775-997-3592
Mailing Address - Fax:
Practice Address - Street 1:160 HUBBARD WAY
Practice Address - Street 2:E
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-3785
Practice Address - Country:US
Practice Address - Phone:775-432-1700
Practice Address - Fax:775-432-1706
Is Sole Proprietor?:No
Enumeration Date:2016-08-31
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst