Individual
CARA JARED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
859 FORTUNEGATE DR, WESTERVILLE, OH 43081-3521
(614) 404-8686
Mailing address
859 FORTUNEGATE DR, WESTERVILLE, OH 43081-3521
(614) 404-8686
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1119523
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/22/2011
Last updated
11/11/2020
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