| Marry St Home Aba Llc | |
|
200 Rella Blvd Ste 165 Suffern NY 10901-4266 | |
| (845) 445-6777 | |
| Not Available |
| Full Name | Marry St Home Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 200 Rella Blvd Ste 165, Suffern, New York |
| Authorized Official Name and Position | Kathlene L (TEAM LEAD) |
| Authorized Official Contact | 8454456777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marry St Home Aba Llc 400 Rella Blvd Ste 165 Suffern NY 10901-8114 Ph: () - | Marry St Home Aba Llc 200 Rella Blvd Ste 165 Suffern NY 10901-4266 Ph: (845) 445-6777 |
| NPI Number | 1326999061 |
|---|---|
| Provider Enumeration Date | 02/09/2026 |
| Last Update Date | 02/09/2026 |
| Certification Date | 02/08/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326999061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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