Individual
KATHERINE O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24865 DETROIT RD, WESTLAKE, OH 44145-2512
(440) 250-8508
Mailing address
5801 VANDALIA AVE, CLEVELAND, OH 44144-3948
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
16808
OH
106S00000X
Behavior Technician
Primary
RBT-16-16808
OH
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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