Individual
FARDOWSA JIMALE ADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1955 TAMARACK CIR S APT D, COLUMBUS, OH 43229-4557
(614) 402-6294
(614) 402-6294
Mailing address
1955 TAMARACK CIR S APT D, COLUMBUS, OH 43229-4557
(614) 402-6294
(614) 402-6294
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OH
Other
Enumeration date
10/28/2025
Last updated
10/28/2025
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