Organization
ABA OUTREACH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE M.N. BASKIN BCBA, COBA (DIRECTOR OF ABA OUTREACH SERVICES)
(216) 272-3963
Entity
Organization
Contact information
Practice address
6537 BRECKSVILLE RD, INDEPENDENCE, OH 44131-4855
(216) 272-3963
(216) 674-2304
Mailing address
484 WOODBINE CIR, MAYFIELD VILLAGE, OH 44143-1525
(216) 272-3963
(216) 674-2304
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1096416
OH
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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