Organization
SUPERSONIC ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN SOM MA, BCBA, COBA (CEO/CLINICAL DIRECTOR)
(317) 225-9119
Entity
Organization
Contact information
Practice address
22600 ASCOA CT, STRONGSVILLE, OH 44149-4700
(216) 260-4847
Mailing address
22600 ASCOA CT, STRONGSVILLE, OH 44149-4700
(216) 260-4847
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/15/2022
Last updated
03/23/2023
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