Individual
KACIE DATKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA, COBA
Contact information
Practice address
1231 ROUNDELAY RD E, REYNOLDSBURG, OH 43068-2051
(330) 603-2958
Mailing address
1231 ROUNDELAY RD E, REYNOLDSBURG, OH 43068-2051
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-51611
OH
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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