Individual
KINLEY MARIE WADDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED. BCBA, COBA
Contact information
Practice address
4664 LARWELL DR, COLUMBUS, OH 43220-3621
(614) 487-7805
(614) 487-7809
Mailing address
5782 GLOXINIA CT, GALLOWAY, OH 43119-9352
(614) 634-8370
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-80215
OH
106S00000X
Behavior Technician
RBT-20-128263
OH
106S00000X
Behavior Technician
—
OH
Other
Enumeration date
07/16/2020
Last updated
06/04/2025
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