Provider Demographics
NPI:1255652905
Name:COHEN, MARLENE JOAN (EDD, BCBA-D)
Entity Type:Individual
Prefix:DR
First Name:MARLENE
Middle Name:JOAN
Last Name:COHEN
Suffix:
Gender:F
Credentials:EDD, BCBA-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 TUDOR CT
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08515-1915
Mailing Address - Country:US
Mailing Address - Phone:609-532-2382
Mailing Address - Fax:609-298-3034
Practice Address - Street 1:5 TUDOR CT
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08515-1915
Practice Address - Country:US
Practice Address - Phone:609-532-2382
Practice Address - Fax:609-298-3034
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-17
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-03-1249103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst