Organization
EDU-AT-TECH, LLC
Active
Other names
Educational Assistive Technology, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARIES NICHELLE COBB PH.D. (DIRECTOR, BEHAVIOR THERAPIST)
(216) 217-0561
Entity
Organization
Contact information
Practice address
3618 RAYMONT BLVD, UNIVERSITY HEIGHTS, OH 44118-2617
(216) 217-0561
Mailing address
PO BOX 91666, CLEVELAND, OH 44101-3666
(216) 217-0561
(216) 848-1202
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1816075
OH
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
1816075
OH
225CA2500X
Assistive Technology Supplier Rehabilitation Counselor
1816075
OH
231HA2400X
Assistive Technology Practitioner Audiologist
SP8177
OH
251300000X
Local Education Agency (LEA)
OH1213349
OH
291U00000X
Clinical Medical Laboratory
36D2045034
OH
347B00000X
Bus
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3123882
—
OH
Enumeration date
05/31/2011
Last updated
12/27/2012
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