Hart Behavior Group Llc | |
1690 Kingsway Dr Xenia OH 45385 | |
(802) 233-0612 | |
Not Available |
Full Name | Hart Behavior Group Llc |
---|---|
Speciality | Behavior Analyst |
Location | 1690 Kingsway Dr, Xenia, Ohio |
Authorized Official Name and Position | Nadezhda Hart (OWNER) |
Authorized Official Contact | 8022330612 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hart Behavior Group Llc 1690 Kingsway Dr Xenia OH 45385-9526 Ph: (802) 233-0612 | Hart Behavior Group Llc 1690 Kingsway Dr Xenia OH 45385 Ph: (802) 233-0612 |
NPI Number | 1255892824 |
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Provider Enumeration Date | 03/27/2019 |
Last Update Date | 03/27/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255892824 | NPI | - | NPPES |
260 | Other | MA | MA LICENSED BEHAVIOR ANALYST |
1215468194 | Other | NPI | |
1-11-9705 | Other | BACB | |
14055689 | Other | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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