Keystone Autism And Behavior Interventions Llc | |
125 Watkins Rd Blanchester OH 45107-1056 | |
(937) 532-6267 | |
(937) 625-4357 |
Full Name | Keystone Autism And Behavior Interventions Llc |
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Speciality | Behavior Analyst |
Location | 125 Watkins Rd, Blanchester, Ohio |
Authorized Official Name and Position | Diandra Dee Stevens (OWNER) |
Authorized Official Contact | 9375326267 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Keystone Autism And Behavior Interventions Llc 125 Watkins Rd Blanchester OH 45107-1056 Ph: (937) 532-6267 | Keystone Autism And Behavior Interventions Llc 125 Watkins Rd Blanchester OH 45107-1056 Ph: (937) 532-6267 |
NPI Number | 1477923811 |
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Provider Enumeration Date | 09/28/2015 |
Last Update Date | 05/14/2021 |
Certification Date | 05/14/2021 |
Identifier | Type | State | Issuer |
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1477923811 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | COBA 162 (Ohio) | Primary |
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