| Creative Learning Expressions Llc | |
|
40 W 4th St Mansfield OH 44902-1206 | |
| (419) 413-5839 | |
| Not Available |
| Full Name | Creative Learning Expressions Llc |
|---|---|
| Speciality | Behavior Technician |
| Location | 40 W 4th St, Mansfield, Ohio |
| Authorized Official Name and Position | Jennifer Juanita Lewis (BILLING) |
| Authorized Official Contact | 4194135839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Learning Expressions Llc 40 W 4th St Mansfield OH 44902-1206 Ph: (419) 413-5839 | Creative Learning Expressions Llc 40 W 4th St Mansfield OH 44902-1206 Ph: (419) 413-5839 |
| NPI Number | 1639808819 |
|---|---|
| Provider Enumeration Date | 06/06/2022 |
| Last Update Date | 06/06/2022 |
| Certification Date | 06/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639808819 | NPI | - | NPPES |
| 1841780814 | Other | OH | RBT |
| 1083383319 | Other | OH | RBT |
| 1245969492 | Other | OH | LPN/RBT |
| 1821522863 | Other | OH | SOCIAL WORK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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