Individual
LISA DIANE BEHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5160 MICHAEL ANTHONY LN, CINCINNATI, OH 45247-7944
(513) 598-9195
Mailing address
4197 ANGIE CT, CINCINNATI, OH 45248-1339
(513) 574-3323
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2329493
—
OH
Enumeration date
08/30/2006
Last updated
07/09/2007
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