| Cultivate Ohio, Llc | |
|
5061 Stansbury Dr Solon OH 44139-1230 | |
| (216) 469-8398 | |
| Not Available |
| Full Name | Cultivate Ohio, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5061 Stansbury Dr, Solon, Ohio |
| Authorized Official Name and Position | Jonathon Curlett (CFO) |
| Authorized Official Contact | 4699551099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cultivate Ohio, Llc 12600 Hill Country Blvd Ste R-100 Bee Cave TX 78738-6748 Ph: (512) 772-4042 | Cultivate Ohio, Llc 5061 Stansbury Dr Solon OH 44139-1230 Ph: (216) 469-8398 |
| NPI Number | 1568971158 |
|---|---|
| Provider Enumeration Date | 09/26/2017 |
| Last Update Date | 07/21/2022 |
| Certification Date | 05/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568971158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 190 (Ohio) | Primary |
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