Provider Demographics
NPI:1710773064
Name:BURCH, MARLAYA MARSHAY
Entity type:Individual
Prefix:
First Name:MARLAYA
Middle Name:MARSHAY
Last Name:BURCH
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 1:548 YELLOW MEADOW CT UNIT D
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93308-9278
Mailing Address - Country:US
Mailing Address - Phone:661-900-4053
Mailing Address - Fax:
Practice Address - Street 1:548 YELLOW MEADOW CT UNIT D
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93308-9278
Practice Address - Country:US
Practice Address - Phone:661-900-4053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician