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3618 Raymont Blvd University Heights OH 44118-2617 | |
| (216) 217-0561 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3618 Raymont Blvd, University Heights, Ohio |
| Authorized Official Name and Position | Aries Nichelle Cobb (DIRECTOR, BEHAVIOR THERAPIST) |
| Authorized Official Contact | 2162170561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 91666 Cleveland OH 44101-3666 Ph: (216) 217-0561 | 3618 Raymont Blvd University Heights OH 44118-2617 Ph: (216) 217-0561 |
| NPI Number | 1437443140 |
|---|---|
| Provider Enumeration Date | 05/31/2011 |
| Last Update Date | 12/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437443140 | NPI | - | NPPES |
| 3123882 | Medicaid | OH |
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