Organization
VITIALIS ABA THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMATAR HASSAN (MANAGING MEMBER)
(614) 974-3318
Entity
Organization
Contact information
Practice address
2211 MINERVA AVE, COLUMBUS, OH 43229-5319
(614) 974-3318
Mailing address
2211 MINERVA AVE, COLUMBUS, OH 43229-5319
(614) 974-3318
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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