| Epicenter Aba, Llc | |
|
4949 Galaxy Pkwy Ste W Warrensville Heights OH 44128-5959 | |
| (216) 508-4050 | |
| (216) 446-0171 |
| Full Name | Epicenter Aba, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4949 Galaxy Pkwy Ste W, Warrensville Heights, Ohio |
| Authorized Official Name and Position | Mara Marnie Katz (PRESIDENT) |
| Authorized Official Contact | 2163244076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Epicenter Aba, Llc 1709 Chelmsford Rd Mayfield Heights OH 44124-3302 Ph: (216) 324-4076 | Epicenter Aba, Llc 4949 Galaxy Pkwy Ste W Warrensville Heights OH 44128-5959 Ph: (216) 508-4050 |
| NPI Number | 1396252599 |
|---|---|
| Provider Enumeration Date | 01/09/2018 |
| Last Update Date | 11/10/2022 |
| Certification Date | 11/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396252599 | NPI | - | NPPES |
| 0325351 | Medicaid | OH | |
| 1144816034 | Other | OH | NICOLE HAJMA NPI |
| 1306397526 | Medicaid | OH | |
| 1396252599 | Medicaid | OH | |
| 1831756402 | Other | OH | ALYSSA JANSEN INDIVIDUAL NPI |
| 0325162 | Medicaid | OH | |
| 0427945 | Medicaid | OH | |
| 1649642687 | Other | OH | MARA MARNIE KATZ NPI |
| 1144816034 | Medicaid | OH | |
| 0427940 | Medicaid | OH | |
| 1396252599 | Other | OH | EPICENTER NPI2 |
| 1558725820 | Medicaid | OH | |
| 1124785183 | Other | OH | FRANCESCA HAUPRICHT NPI |
| 1124785183 | Medicaid | OH | |
| 1306397526 | Other | OH | SAMANTHA (PLATKO) POPIO NPI |
| 1649642687 | Other | OH | NPI - ANTHEM |
| 1649642687 | Medicaid | OH | |
| 1558725820 | Other | OH | STEPHANIE NEGRELLI DIXON NPI |
| 473759 | Medicaid | OH | |
| 560593 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-15-19850 (Ohio) | Primary |
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