Individual
DR. ARIES NICHELLE COBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3618 RAYMONT BLVD, UNIVERSITY HEIGHTS, OH 44118-2617
(216) 217-0561
(216) 848-1202
Mailing address
3618 RAYMONT BLVD, UNIVERSITY HEIGHTS, OH 44118-2617
(216) 217-0561
(216) 848-1202
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1817449
OH
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
1817449
OH
225CA2500X
Assistive Technology Supplier Rehabilitation Counselor
1817449
OH
291U00000X
Clinical Medical Laboratory
36D2045034
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0059044
—
OH
Enumeration date
03/06/2012
Last updated
12/27/2012
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