Evergreen Autism Services Llc | |
1421 Seminole Dr Xenia OH 45385-4355 | |
(937) 723-0212 | |
Not Available |
Full Name | Evergreen Autism Services Llc |
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Speciality | Behavior Analyst |
Location | 1421 Seminole Dr, Xenia, Ohio |
Authorized Official Name and Position | Tonya Jones (BEHAVIOR ANALYST) |
Authorized Official Contact | 9377230212 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Evergreen Autism Services Llc 1421 Seminole Dr Xenia OH 45385-4355 Ph: () - | Evergreen Autism Services Llc 1421 Seminole Dr Xenia OH 45385-4355 Ph: (937) 723-0212 |
NPI Number | 1205646239 |
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Provider Enumeration Date | 01/11/2025 |
Last Update Date | 01/11/2025 |
Certification Date | 01/11/2025 |
Identifier | Type | State | Issuer |
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1205646239 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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