White, Mara Felice

White, Mara Felice is an sole proprietor health care provider with primary practice located at 7465 Hightower Cir , Cumming GA 30028-3174. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Agencies / Community/Behavioral Health, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. White, Mara Felice can be contacted via phone (215) 518-3709.

Contact Information

Primary practice address
7465 Hightower Cir Cumming GA 30028-3174
Phone: (215) 518-3709
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Agencies / Community/Behavioral Health 251S00000X Georgia
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-21-49657 Georgia

Profile Details

NPI number 1124614813
LBN Legal business name White, Mara Felice
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2020
Last updated Jun 15th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124614813 NPPES
Georgia MEDICAID 003246117

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