Provider Demographics
NPI:1366547242
Name:DAILY, CARA MARKER (PHD, BCBA)
Entity type:Individual
Prefix:DR
First Name:CARA
Middle Name:MARKER
Last Name:DAILY
Suffix:
Gender:F
Credentials:PHD, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14538 GRAPELAND AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44111-2107
Mailing Address - Country:US
Mailing Address - Phone:216-252-1399
Mailing Address - Fax:216-252-1409
Practice Address - Street 1:14538 GRAPELAND AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44111-2107
Practice Address - Country:US
Practice Address - Phone:216-252-1399
Practice Address - Fax:216-252-1409
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2018-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5969103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH201571831026OtherCARESOURCE
OH2452046Medicaid
OH2452046Medicaid