Provider Demographics
NPI:1861150492
Name:MCGUINNESS, MAREN (RBT)
Entity type:Individual
Prefix:
First Name:MAREN
Middle Name:
Last Name:MCGUINNESS
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2102 SANTA ANA AVE APT D
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92627-1874
Mailing Address - Country:US
Mailing Address - Phone:310-701-9894
Mailing Address - Fax:
Practice Address - Street 1:21282 BEACH BLVD APT 101
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-5720
Practice Address - Country:US
Practice Address - Phone:562-476-9282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-01
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CABACB736296103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst