Provider Demographics
NPI:1215162805
Name:MARONE, FRANK JOHN (PHD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:JOHN
Last Name:MARONE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 225129
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-5129
Mailing Address - Country:US
Mailing Address - Phone:415-564-7830
Mailing Address - Fax:415-242-1302
Practice Address - Street 1:1426 46TH AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94122-2903
Practice Address - Country:US
Practice Address - Phone:415-564-7830
Practice Address - Fax:415-242-1302
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-26
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC14792103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst