Individual
GINA TALERICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2736 MEDINA RD STE 108, MEDINA, OH 44256-9801
(330) 952-0403
Mailing address
2736 MEDINA RD STE 108, MEDINA, OH 44256-9801
(330) 952-0403
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-68858
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/08/2022
Last updated
11/22/2023
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