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Provider Information - CalViva Health
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Provider Information

Last Updated : Sep 5 2025 2:28 PM

Jason A Marshall

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City
Fresno
Group
HEALTH NET DIRECT FFS MEDI-CAL
Specialty
Qualified Autism Svc Provider
Last Name
Marshall
First Name
Jason
Middle Name
A
Address
1782 E Bullard Ave Ste 104
State
CA
Zip Code
93710
Phone
(559)515-6485
Hours
Mon - Fri 8:00 AM - 8:00 PM
Gender
M
Title
BCBA
Physician ID
225659
Section Number
A
County
FRESNO
Accepting New Patient
Yes
PPG NAME
HEALTH NET DIRECT FFS MEDI-CAL
PPG ID
MHDML
NPI Number
1376890368
Access Requirement
Limited
PARKING_IND
P
EXT_BUILD_IND
EB
INT_BUILD_IND
IB
RESTROOM_IND
R
License ID
UNK84435
Email
bicc.admin@bicccentralcal.com
Board Certified
No
Self Access Flag
Self Reported Data
PHY CCT IND
N
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Is any of the information above incorrect? Please use this online form to send us a correction or email directoryrequest@calvivahealth.org. You may also call 1-888-893-1569 TTY 711.