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Organization

OHIO AUTISM TREATMENT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTEN WILCOCK BCBA (OWNER)
(614) 557-9557
Entity
Organization

Contact information

Practice address
4664 LARWELL DR, COLUMBUS, OH 43220-3621
(614) 487-7805
Mailing address
4664 LARWELL DR, COLUMBUS, OH 43220-3621

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
251B00000X
Case Management Agency
251C00000X
Developmentally Disabled Services Day Training Agency
251S00000X
Community/Behavioral Health Agency
252Y00000X
Early Intervention Provider Agency

Other

Enumeration date
03/09/2026
Last updated
03/09/2026
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