Individual
MRS. JOHANNA RAE POORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA COBA
Contact information
Practice address
4105 HOLIDAY ST NW # 202, CANTON, OH 44718-2531
(203) 539-6972
Mailing address
4105 HOLIDAY ST NW STE 202, CANTON, OH 44718-2531
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
COBA.01424
OH
Other
Enumeration date
05/30/2023
Last updated
04/08/2026
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