NPI
Iridian Rafaela Marquina
NPI 1366115925
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2021-07-29
- Last updated
- 2026-06-01
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Specialties
Licenses
- License GA
- 1-26-87291
- License GA
- BACB702046
Location
- Practice location
- 3775 Venture Dr Ste M101
- City
- Duluth GA
- Postal code
- 30096-5217
- Phone
- (470) 610-4222
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Behavior Analyst providers in Duluth, GA. 58 with this primary taxonomy in the public file.
Other NPIs in Duluth, GA. 2,590 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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