Organization
CREATIVE LEARNING EXPRESSIONS LLC
Active
Other names
Creative Learning Expressions
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER JUANITA LEWIS LPN (BILLING)
(419) 413-5839
Entity
Organization
Contact information
Practice address
40 W 4TH ST, MANSFIELD, OH 44902-1206
(419) 413-5839
Mailing address
40 W 4TH ST, MANSFIELD, OH 44902-1206
(419) 413-5839
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083383319
RBT
OH
01
—
1245969492
LPN/RBT
OH
01
—
1821522863
SOCIAL WORK
OH
01
—
1841780814
RBT
OH
Enumeration date
06/06/2022
Last updated
06/06/2022
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