# MICHELLE SPADER, PSYD, BCBA-D, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972952463
- **Authorized official:** DR. MICHELLE SPADER PSYD, BCBA-D (PSYCHOLOGIST/FOUNDER)
- **Authorized official phone:** (614) 852-4152

## Contact information

- **Practice address:** 6260 S SUNBURY RD, SUITE 5, WESTERVILLE, OH 43081-9002
- **Practice address phone:** (614) 852-4152
- **Practice address fax:** (614) 852-4151
- **Mailing address:** 6260 S SUNBURY RD, SUITE 5, WESTERVILLE, OH 43081-9002
- **Mailing address phone:** (614) 852-4152
- **Mailing address fax:** (614) 852-4151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | 6516 | OH | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 6516 | OH | Yes |
| 103TM1800X | Intellectual & Developmental Disabilities Psychologist | 6516 | OH | — |

## Other

- **Enumeration date:** 06/06/2016
- **Last updated:** 06/06/2016