Individual
HAWI KASSA I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2166 MINERVA AVE, COLUMBUS, OH 43229-4798
(614) 735-7270
Mailing address
2166 MINERVA AVE, COLUMBUS, OH 43229-4798
(614) 735-7270
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
883682244
—
OH
Enumeration date
12/15/2022
Last updated
12/15/2022
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