Organization
WOLFF & PHAN AUTISM CENTER, LLC
Active
Other names
Wolff PAC
Organization subpart
No
Provider details
NPI number
Authorized official
KIM PHAN WOLFF BCBA, COBA (CEO & FOUNDER)
(330) 271-6107
Entity
Organization
Contact information
Practice address
3505 EMBASSY PKWY STE 100, FAIRLAWN, OH 44333-8403
(330) 271-6107
(330) 706-4705
Mailing address
3505 EMBASSY PKWY STE 100, FAIRLAWN, OH 44333-8403
(330) 271-6107
(330) 706-4705
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0433777
—
OH
Enumeration date
01/09/2021
Last updated
08/18/2021
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