| Pivotal Aba Therapy, Llc | |
|
4502 Darrow Rd Stow OH 44224-1887 | |
| (330) 603-8534 | |
| Not Available |
| Full Name | Pivotal Aba Therapy, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4502 Darrow Rd, Stow, Ohio |
| Authorized Official Name and Position | Jeanine Patrice Signs (OWNER AND EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3306038534 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pivotal Aba Therapy, Llc 10385 Oviatt Ln Twinsburg OH 44087-1472 Ph: (330) 603-8534 | Pivotal Aba Therapy, Llc 4502 Darrow Rd Stow OH 44224-1887 Ph: (330) 603-8534 |
| NPI Number | 1649878802 |
|---|---|
| Provider Enumeration Date | 10/10/2020 |
| Last Update Date | 06/13/2023 |
| Certification Date | 06/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649878802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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