Healthcare Provider Details

I. General information

NPI: 1396252599
Provider Name (Legal Business Name): EPICENTER ABA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2018
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6565 DAVIS INDUSTRIAL PWKY SUITE A
SOLON OH
44139-3560
US

IV. Provider business mailing address

6565 DAVIS INDUSTRIAL PWKY SUITE A
SOLON OH
44139-3560
US

V. Phone/Fax

Practice location:
  • Phone: 216-508-4050
  • Fax:
Mailing address:
  • Phone: 216-508-4050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MARA MARNIE KATZ
Title or Position: PRESIDENT
Credential: MA
Phone: 216-324-4076