Individual
HAVEN WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
125 WATKINS RD, BLANCHESTER, OH 45107-1056
(937) 218-4357
Mailing address
125 WATKINS RD, BLANCHESTER, OH 45107-1056
(937) 218-4357
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-178711
OH
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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