Individual
JESSICA BALUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, COBA
Contact information
Practice address
36711 AMERICAN WAY, AVON, OH 44011-4062
(216) 282-1234
(216) 282-1234
Mailing address
6830 COCHRAN RD, SOLON, OH 44139-3966
(216) 282-1234
(216) 923-0183
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-82193
OH
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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