Individual
DIANDRA STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
125 WATKINS RD, BLANCHESTER, OH 45107-1056
(937) 218-4845
(937) 625-4357
Mailing address
125 WATKINS RD, BLANCHESTER, OH 45107-1056
(937) 218-4845
(513) 847-4763
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
COBA.162
OH
Other
Enumeration date
04/22/2014
Last updated
03/22/2021
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