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Organization

APPLIED BEHAVIORAL SERVICES DAYTON LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEENA STEIN GREENBLATT (PAYER ENROLLMENT & CONTRACTING)
(609) 525-4271
Entity
Organization

Contact information

Practice address
2570 TECHNICAL DR, MIAMISBURG, OH 45342-6107
(937) 847-8750
(937) 847-8753
Mailing address
2 VILLAGE SQ STE 210, BALTIMORE, MD 21210-1624
(609) 525-4271
(937) 847-8753

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
225XP0200X
Pediatric Occupational Therapist
235Z00000X
Speech-Language Pathologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0334817
OH
Enumeration date
11/20/2012
Last updated
04/24/2024
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