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Individual

IAN BRADLEY GENTILE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BCBA

Contact information

Practice address
5885 LANDERBROOK DR STE 310, MAYFIELD HEIGHTS, OH 44124-4031
(216) 446-2944
(315) 306-3610
Mailing address
5885 LANDERBROOK DR STE 310, MAYFIELD HEIGHTS, OH 44124-4031
(216) 446-2944
(315) 306-3610

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
00765
OH
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
10/15/2020
Last updated
08/31/2023
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