Advanced Behavioral Therapy Oh
Community/Behavioral Health in Beachwood, OH. Organization (NPI-2).
NPI number1457940546
StatusActive
Last updated in NPPESJan 13, 2021
Details
- NPI
- 1457940546
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Behavioral Therapy Oh
- Organization subpart
- No
- Enumeration date
- Jan 13, 2021
- Certification date
- Jan 13, 2021
- Last updated
- Jan 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 104100000X | Social Worker | – | – | |
| 103K00000X | Behavior Analyst | – | – | |
| 106E00000X | Assistant Behavior Analyst | – | – | |
| 106S00000X | Behavior Technician | – | – | |
| 225X00000X | Occupational Therapist | – | – | |
| 235Z00000X | Speech-Language Pathologist, | – | – |
Practice location
2000 Auburn Dr Ste 200Beachwood, OH 44122-4328
Phone 848-207-4174
Mailing address
222 Down Hill RunToms River, NJ 08755-1021
Phone 848-207-4174
Authorized official
Avigail Kemmoun
Ceo/ Owner
8482074174
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