Provider Demographics
NPI:1093241762
Name:MARJORIE ZURBARAN ASSOCIATES INC
Entity Type:Organization
Organization Name:MARJORIE ZURBARAN ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARJORIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZURBARAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:305-776-0501
Mailing Address - Street 1:520 VALENCIA AVE
Mailing Address - Street 2:NO. 1
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-5751
Mailing Address - Country:US
Mailing Address - Phone:305-776-0501
Mailing Address - Fax:
Practice Address - Street 1:520 VALENCIA AVE
Practice Address - Street 2:NO. 1
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-5751
Practice Address - Country:US
Practice Address - Phone:305-776-0501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-02
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 4868101Y00000X, 103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty