Provider Demographics
NPI:1346753480
Name:SHAPIRO, MARNIE NICOLE (PHD, BCBA-D)
Entity Type:Individual
Prefix:DR
First Name:MARNIE
Middle Name:NICOLE
Last Name:SHAPIRO
Suffix:
Gender:F
Credentials:PHD, BCBA-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1351 N CRESCENT HEIGHTS BLVD APT 209
Mailing Address - Street 2:
Mailing Address - City:W HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90046-4578
Mailing Address - Country:US
Mailing Address - Phone:310-948-5555
Mailing Address - Fax:
Practice Address - Street 1:1351 N CRESCENT HEIGHTS BLVD APT 209
Practice Address - Street 2:
Practice Address - City:W HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90046-4578
Practice Address - Country:US
Practice Address - Phone:310-948-5555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-12
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst