Provider Demographics
NPI:1083301733
Name:MARRONE, SOPHIA LILIANA
Entity Type:Individual
Prefix:
First Name:SOPHIA
Middle Name:LILIANA
Last Name:MARRONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 STRATTON RD
Mailing Address - Street 2:
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-6831
Mailing Address - Country:US
Mailing Address - Phone:917-685-6374
Mailing Address - Fax:
Practice Address - Street 1:32 STRATTON RD
Practice Address - Street 2:
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747-6831
Practice Address - Country:US
Practice Address - Phone:917-685-6374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-21
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst