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Organization

WILDFLOWER PEDIATRIC PSYCHOLOGY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JESSICA GRABER PHD, BCBA-D, COBA (LICENSED PSYCHOLOGIST)
(614) 333-8442
Entity
Organization

Contact information

Practice address
5650 BLAZER PARKWAY STE 137, DUBLIN, OH 43017-3562
(614) 333-8442
Mailing address
5650 BLAZER PARKWAY STE 137, DUBLIN, OH 43017-3562

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
261QD1600X
Developmental Disabilities Clinic/Center
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Enumeration date
01/27/2025
Last updated
04/14/2025
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