Individual
VICTORIA BROXHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2525 E 22ND ST, CLEVELAND, OH 44115-3202
(216) 932-2800
Mailing address
2525 E 22ND ST, CLEVELAND, OH 44115-3202
(216) 932-2800
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-60246
OH
106S00000X
Behavior Technician
RBT-19-81319
OH
Other
Enumeration date
09/29/2021
Last updated
01/09/2024
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