Organization
OH HI SOCIAL SKILLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA MARTINEZ (CREDENTIALING)
(805) 277-3392
Entity
Organization
Contact information
Practice address
14820 DETROIT AVE STE 216, LAKEWOOD, OH 44107-3938
(440) 467-2228
Mailing address
14820 DETROIT AVE STE 216, LAKEWOOD, OH 44107-3938
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/03/2017
Last updated
07/03/2017
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