Individual
ADA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, COBA
Contact information
Practice address
5700 BLAZER PKWY, DUBLIN, OH 43017-3665
(614) 962-8330
Mailing address
5044 DIERKER RD APT G, COLUMBUS, OH 43220-5205
(740) 507-4995
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/29/2016
Last updated
12/04/2024
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