Individual
KENT EDWARD MARRIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
6402 S 193RD AVE, OMAHA, NE 68135-4226
(970) 580-7223
Mailing address
217 W FLORENCE AVE, GLENWOOD, IA 51534-1159
(970) 580-7223
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0744
NE
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/24/2021
Last updated
11/10/2025
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