Individual
GENORI PUTNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1804 E 55TH ST, CLEVELAND, OH 44103-3602
(216) 762-4737
Mailing address
1804 E 55TH ST, CLEVELAND, OH 44103-3602
(216) 762-1237
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
ST869333
OH
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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