Provider Demographics
NPI:1639844814
Name:MARRA CONSULTING LLC
Entity type:Organization
Organization Name:MARRA CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAILA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARRA
Authorized Official - Suffix:
Authorized Official - Credentials:MA, BCBA, ADHD-CCSP
Authorized Official - Phone:973-885-8750
Mailing Address - Street 1:12 GOLDBLATT TER
Mailing Address - Street 2:
Mailing Address - City:EAST HANOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07936-1416
Mailing Address - Country:US
Mailing Address - Phone:973-885-8750
Mailing Address - Fax:
Practice Address - Street 1:12 GOLDBLATT TER
Practice Address - Street 2:
Practice Address - City:EAST HANOVER
Practice Address - State:NJ
Practice Address - Zip Code:07936-1416
Practice Address - Country:US
Practice Address - Phone:973-885-8750
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-10
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty