Individual provider · Type 1 NPI
Marla Ebonique Cirita Emilsen, MS ED
Intellectual Disabilities Intermediate Care Facility · Brooklyn, NY
NPI number
1932099454
Active
Practice location
629 E 82nd St Fl 2
Brooklyn, NY 11236-3305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | None listed |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Other intellectual disabilities intermediate care facility providers in Brooklyn
About NPI 1932099454
Marla Ebonique Cirita Emilsen, MS ED's National Provider Identifier is 1932099454, issued on Jul 7, 2025. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 7, 2025.