Individual
TAMMY LYNN MORNEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, COBA, LBA
Contact information
Practice address
7264 COLUMBIA RD STE 1000, MASON, OH 45039
(513) 402-1711
(765) 454-9759
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(765) 454-9759
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
241585
KY
103K00000X
Behavior Analyst
Primary
COBA.00400
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-08-4205
BCBA CERTIFICATE
—
01
—
COBA.00400
COBA LICENSE
OH
Enumeration date
01/30/2018
Last updated
06/05/2018
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