Individual
LEXUS FANNIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
5000 ARLINGTON CENTRE BLVD, UPPER ARLINGTON, OH 43220-3075
(614) 615-5145
Mailing address
117 E TOMPKINS ST, COLUMBUS, OH 43202-2932
(937) 903-4028
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
47-24-23-666
OH
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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