Active NPI
Mara Katz, BCBA, COBA
- Behavior Analyst
- Warrensville Heights, OH
National Provider Identifier
1649642687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-15-19850
- Practice address
- 4949 Galaxy Pkwy Ste W
Warrensville Heights, OH 44128-5959 - Phone
- (216) 508-4050
- NPI assigned
- Oct 29, 2015
- Last updated
- Dec 15, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | COBA.00377 | OH | |
| Behavior Analyst | 103K00000X | 1-15-19850 | OH | Primary |
Addresses
Primary practice location
4949 Galaxy Pkwy Ste W
Warrensville Heights, OH 44128-5959
Mailing address
1709 Chelmsford Rd Ste 207
Mayfield Heights, OH 44124-3302
Phone (440) 421-9053
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-15-19850 | Other | OH | BCBA |
| COBA.00377 | Other | OH | COBA |
Other names 1
- Marnie Katz
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Marniekatz@epicenteraba.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COBA.00377 | OH | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epicenter ABA, LLC | Behavior Analyst | Current | Accepting new patients |
| Epicenter Healthcare LLC | Past | Accepting new patients |
Locations
6565 Davis Industrial Pkwy
Ste A
Solon, OH 44139
Phone (216) 508-4050
4949 Galaxy Pkwy
Ste W
Warrensville Heights, OH 44128
Phone (216) 508-4050
Interoperability endpoints
- marniekatz@epicenteraba.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Solon, OH
- NPI 1396252599
-
- Speech-Language Pathologist
- Solon, OH
- NPI 1609764125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607990400000",
"number": "1649642687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1709 CHELMSFORD RD STE 207",
"city": "MAYFIELD HEIGHTS",
"state": "OH",
"postal_code": "441243302",
"telephone_number": "440-421-9053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4949 GALAXY PKWY STE W",
"city": "WARRENSVILLE HEIGHTS",
"state": "OH",
"postal_code": "441285959",
"telephone_number": "216-508-4050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATZ",
"first_name": "MARA",
"credential": "BCBA, COBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-29",
"last_updated": "2020-12-15",
"certification_date": "2020-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OH",
"license": "COBA.00377",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OH",
"license": "1-15-19850",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBA",
"identifier": "1-15-19850",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COBA",
"identifier": "COBA.00377",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Marniekatz@epicenteraba.com",
"affiliation": "N",
"address_1": "4949 Galaxy Pkwy Ste W",
"city": "Warrensville Heights",
"state": "OH",
"country_code": "US",
"postal_code": "441285959",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MARNIE",
"last_name": "KATZ",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Warrensville Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.