# EDU-AT-TECH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EDU-AT-TECH, LLC
- **Other names:** Educational Assistive Technology, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104165521
- **Legal business name:** EDU-AT-TECH, LLC
- **Authorized official:** DR. ARIES NICHELLE COBB PHD (DIRECTOR)
- **Authorized official phone:** (216) 217-0561

## Contact information

- **Practice address:** 7102 WAKEFIELD AVE, CLEVELAND, OH 44102-2972
- **Practice address phone:** (216) 217-0561
- **Practice address fax:** (216) 848-1202
- **Mailing address:** PO BOX 91666, CLEVELAND, OH 44101-3666
- **Mailing address phone:** (216) 217-0561
- **Mailing address fax:** (216) 848-1202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | SP8177 | OH | — |
| 231HA2400X | Assistive Technology Practitioner Audiologist | MBE-20799 | OH | — |
| 231HA2500X | Assistive Technology Supplier Audiologist | MBE-20799 | OH | — |
| 235500000X | Speech/Language/Hearing Specialist/Technologist | MBE-20799 | OH | — |
| 235Z00000X | Speech-Language Pathologist | SP8177 | OH | Yes |

## Other

- **Enumeration date:** 02/05/2013
- **Last updated:** 02/05/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0059044 | — | OH |