| On Target Aba | |
|
28800 Clark Dr Wickliffe OH 44092-2650 | |
| (216) 386-2244 | |
| Not Available |
| Full Name | On Target Aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 28800 Clark Dr, Wickliffe, Ohio |
| Authorized Official Name and Position | Joshua Gross (CEO/OWNER) |
| Authorized Official Contact | 2163431198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| On Target Aba 28800 Clark Dr Wickliffe OH 44092-2650 Ph: (216) 343-1198 | On Target Aba 28800 Clark Dr Wickliffe OH 44092-2650 Ph: (216) 386-2244 |
| NPI Number | 1104426949 |
|---|---|
| Provider Enumeration Date | 10/30/2020 |
| Last Update Date | 02/14/2021 |
| Certification Date | 02/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104426949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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