Provider Demographics
NPI:1942746276
Name:COLIC, MARIJA (BCBA)
Entity type:Individual
Prefix:
First Name:MARIJA
Middle Name:
Last Name:COLIC
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1645 ALA WAI BLVD APT 508
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815-1005
Mailing Address - Country:US
Mailing Address - Phone:347-707-3025
Mailing Address - Fax:
Practice Address - Street 1:1645 ALA WAI BLVD APT 508
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-1005
Practice Address - Country:US
Practice Address - Phone:347-707-3025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-10
Last Update Date:2024-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst