Individual
KIRA TOLLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1900 INDIAN WOOD CIR STE 100, MAUMEE, OH 43537-4039
(419) 830-0078
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-67765
OH
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/11/2019
Last updated
10/17/2023
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