Individual
KELLI MARIE HYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, BCBA, COBA
Contact information
Practice address
1255 KEMPER MEADOW DR, CINCINNATI, OH 45240-1633
(513) 294-1522
(765) 454-9759
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(765) 454-9759
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-16-22259
OH
103K00000X
Behavior Analyst
Primary
COBA338
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-16-22259
BACB
OH
01
—
1-16-22259
BCBA CERTIFICATE
—
Enumeration date
08/29/2017
Last updated
03/17/2018
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