Individual
RAEGAN FIRESTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
11910 MARCY RD, CANAL WINCHESTER, OH 43110-9755
(614) 285-8557
Mailing address
11910 MARCY RD, CANAL WINCHESTER, OH 43110-9755
(614) 285-8557
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-16-6956
OH
Other
Enumeration date
03/17/2017
Last updated
03/17/2017
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