Individual
AUDREY MARIE COLYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, COBA
Contact information
Practice address
5180 CEDAR VILLAGE DR, MASON, OH 45040-3701
(513) 638-0303
Mailing address
5180 CEDAR VILLAGE DR, MASON, OH 45040-3701
(513) 638-0303
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
COBA.231
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-15-18009
BACB CERTIFICATE
OH
Enumeration date
01/26/2016
Last updated
09/17/2020
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