| On Target Aba | |
|
130 E Wilson Bridge Rd Ste 200 Worthington OH 43085-2391 | |
| (216) 311-1231 | |
| Not Available |
| Full Name | On Target Aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 130 E Wilson Bridge Rd Ste 200, Worthington, Ohio |
| Authorized Official Name and Position | Joshua Gross (AGENT) |
| Authorized Official Contact | 2163113245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| On Target Aba 28080 Chardon Rd Ste 208 Willoughby Hills OH 44092-3000 Ph: (216) 317-4075 | On Target Aba 130 E Wilson Bridge Rd Ste 200 Worthington OH 43085-2391 Ph: (216) 311-1231 |
| NPI Number | 1578338166 |
|---|---|
| Provider Enumeration Date | 11/24/2023 |
| Last Update Date | 11/24/2023 |
| Certification Date | 11/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578338166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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