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Organization
WILDFLOWER PEDIATRIC PSYCHOLOGY, LLC
Active
Organization
WILDFLOWER PEDIATRIC PSYCHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA GRABER PHD, BCBA-D, COBA (LICENSED PSYCHOLOGIST)
(614) 333-8442
Entity
Organization
Contact information
Practice address
5650 BLAZER PARKWAY STE 137, DUBLIN, OH 43017-3562
(614) 333-8442
Mailing address
5650 BLAZER PARKWAY STE 137, DUBLIN, OH 43017-3562
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
261QD1600X
Developmental Disabilities Clinic/Center
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/27/2025
Last updated
04/14/2025
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