Individual
MARA KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, COBA
Contact information
Practice address
4949 GALAXY PKWY STE W, WARRENSVILLE HEIGHTS, OH 44128-5959
(216) 508-4050
Mailing address
1709 CHELMSFORD RD STE 207, MAYFIELD HEIGHTS, OH 44124-3302
(440) 421-9053
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-19850
OH
103K00000X
Behavior Analyst
COBA.00377
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-15-19850
BCBA
OH
01
—
COBA.00377
COBA
OH
Enumeration date
10/29/2015
Last updated
12/15/2020
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