Individual
MRS. CARRIE EILEEN WALLS-SUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5265 SECRETARIAT DR, MORROW, OH 45152-5036
(937) 308-7047
(937) 343-6666
Mailing address
5818 WILMINGTON PIKE # 114, CENTERVILLE, OH 45459-7004
(937) 308-7047
(937) 343-6666
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-11707
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
224
CERTIFIED OHIO BEHAVIOR ANALYST (COBA) NUMBER
OH
Enumeration date
07/05/2012
Last updated
01/28/2021
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