Provider Demographics
NPI:1538887344
Name:MARINIA GROUP, INC.
Entity type:Organization
Organization Name:MARINIA GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHANI
Authorized Official - Middle Name:MAISHA
Authorized Official - Last Name:SAMBRANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-255-8160
Mailing Address - Street 1:1968 S COAST HWY STE 3470
Mailing Address - Street 2:
Mailing Address - City:LAGUNA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92651-3681
Mailing Address - Country:US
Mailing Address - Phone:800-255-8160
Mailing Address - Fax:949-541-0042
Practice Address - Street 1:201 W 4TH ST STE B61
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-4627
Practice Address - Country:US
Practice Address - Phone:800-255-8160
Practice Address - Fax:949-541-0042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-17
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251300000XAgenciesLocal Education Agency (LEA)
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No252Y00000XAgenciesEarly Intervention Provider Agency