Provider Demographics
NPI:1396252599
Name:EPICENTER ABA, LLC
Entity type:Organization
Organization Name:EPICENTER ABA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARA MARNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KATZ
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:216-324-4076
Mailing Address - Street 1:6565 DAVIS INDUSTRIAL PWKY
Mailing Address - Street 2:SUITE A
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-3560
Mailing Address - Country:US
Mailing Address - Phone:216-508-4050
Mailing Address - Fax:
Practice Address - Street 1:6565 DAVIS INDUSTRIAL PWKY
Practice Address - Street 2:SUITE A
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-3560
Practice Address - Country:US
Practice Address - Phone:216-508-4050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EPICENTER ABA, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-01-09
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1124785183Medicaid
OH1144816034Medicaid
OH1306397526Medicaid
OH1558725820Medicaid
OH0427945Medicaid
OH1649642687OtherNPI - ANTHEM
OH0325351Medicaid
OH0427940Medicaid
OH1124785183OtherFRANCESCA HAUPRICHT NPI
OH1144816034OtherNICOLE HAJMA NPI
OH1306397526OtherSAMANTHA (PLATKO) POPIO NPI
OH1396252599Medicaid
OH1649642687OtherMARA MARNIE KATZ NPI
OH560593Medicaid
OH1649642687Medicaid
OH1831756402OtherALYSSA JANSEN INDIVIDUAL NPI
OH1558725820OtherSTEPHANIE NEGRELLI DIXON NPI
OH473759Medicaid
OH0325162Medicaid
OH1396252599OtherEPICENTER NPI2