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Individual

MR. KENNETH DIX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RBT

Contact information

Practice address
24865 DETROIT RD, WESTLAKE, OH 44145
(440) 250-8800
(440) 461-1170
Mailing address
14529 ALGER RD, CLEVELAND, OH 44111-1309
(440) 240-3292

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-16-21482
CO

Other

Enumeration date
01/05/2018
Last updated
01/05/2018
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