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Individual

LISA FOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
23500 MERCANTILE RD, BEACHWOOD, OH 44122-5930
(440) 221-4659
Mailing address
3939 W 223RD ST, FAIRVIEW PARK, OH 44126-1013
(440) 221-4659

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
01/05/2015
Last updated
03/09/2023
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  • EDI platform