Organization
HART BEHAVIOR GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADEZHDA HART BCBA (OWNER)
(802) 233-0612
Entity
Organization
Contact information
Practice address
1690 KINGSWAY DR, XENIA, OH 45385
(802) 233-0612
Mailing address
1690 KINGSWAY DR, XENIA, OH 45385-9526
(802) 233-0612
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-11-9705
BACB
—
01
—
1215468194
NPI
—
01
—
14055689
CAQH
—
01
—
260
MA LICENSED BEHAVIOR ANALYST
MA
Enumeration date
03/27/2019
Last updated
03/27/2019
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