Provider Demographics
NPI:1326291477
Name:MARSH, ESTHER (LMSW,BCBA)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:
Last Name:MARSH
Suffix:
Gender:F
Credentials:LMSW,BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 TIMBER WAY
Mailing Address - Street 2:
Mailing Address - City:SANDWICH
Mailing Address - State:MA
Mailing Address - Zip Code:02563-2526
Mailing Address - Country:US
Mailing Address - Phone:508-420-0922
Mailing Address - Fax:
Practice Address - Street 1:10 TIMBER WAY
Practice Address - Street 2:
Practice Address - City:SANDWICH
Practice Address - State:MA
Practice Address - Zip Code:02563-2526
Practice Address - Country:US
Practice Address - Phone:508-420-0922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-02
Last Update Date:2010-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-08-4048103K00000X
NY050801-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No104100000XBehavioral Health & Social Service ProvidersSocial Worker