Individual
CASEY SURBLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED., BCBA
Contact information
Practice address
805 E WASHINGTON ST STE 130, MEDINA, OH 44256-3331
(234) 255-8531
Mailing address
805 E WASHINGTON ST STE 130, MEDINA, OH 44256-3331
(234) 255-8531
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
RBT-20-148388
OH
Other
Enumeration date
12/16/2020
Last updated
05/18/2023
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