Individual
CONI NIEHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1251 E DOROTHY LN, KETTERING, OH 45419-2106
(937) 602-0596
Mailing address
1251 E DOROTHY LN, KETTERING, OH 45419-2106
(937) 602-0596
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1505294
OH
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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