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Katherine O'Connor

Behavior Technician in Westlake, OH. Individual provider (NPI-1).

NPI number1669989620
StatusActive
Last updated in NPPESDec 29, 2017

Details

NPI
1669989620
Entity type
Individual (NPI-1)
Name
Katherine O'Connor
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 29, 2017
Last updated
Dec 29, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianRBT-16-16808OHYes
106S00000X Behavior Technician16808OH

Practice location

24865 Detroit Rd
Westlake, OH 44145-2512

Phone 440-250-8508

Mailing address

5801 Vandalia Ave
Cleveland, OH 44144-3948

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