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Individual

KATIE MARIE MAROSKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA, BCABA

Contact information

Practice address
2004 1/2 S MEMORIAL DR, NEW CASTLE, IN 47362-1220
(317) 527-5437
Mailing address
1834 FIELDS BLVD, GREENFIELD, IN 46140-3029
(765) 628-7400

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-40083
IN
106E00000X
Assistant Behavior Analyst
0-19-9506
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300033770
IN
Enumeration date
06/14/2019
Last updated
01/10/2020
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