Individual
MICHELLE MARIE NAMETH BASKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA, COBA
Contact information
Practice address
6537 BRECKSVILLE RD, INDEPENDENCE, OH 44131-4855
(216) 503-1234
(216) 503-1233
Mailing address
6537 BRECKSVILLE RD, INDEPENDENCE, OH 44131-4855
(216) 503-1234
(216) 503-1233
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1096020
OH
103K00000X
Behavior Analyst
1096416
—
103K00000X
Behavior Analyst
Primary
110
OH
Other
Enumeration date
08/11/2010
Last updated
01/24/2022
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