Provider Demographics
NPI:1841099595
Name:BILLER, MARJORIE JANE
Entity type:Individual
Prefix:MS
First Name:MARJORIE
Middle Name:JANE
Last Name:BILLER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 CAMBON DR APT 10F
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94132-2510
Mailing Address - Country:US
Mailing Address - Phone:415-715-4125
Mailing Address - Fax:
Practice Address - Street 1:1075 CREEKSIDE RIDGE DR STE 280
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95678-3504
Practice Address - Country:US
Practice Address - Phone:916-413-4153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty