| Hart Behavior Group Llc | |
|
1690 Kingsway Dr Xenia OH 45385 | |
| (802) 233-0612 | |
| Not Available |
| Full Name | Hart Behavior Group Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1690 Kingsway Dr, Xenia, Ohio |
| Authorized Official Name and Position | Nadezhda Hart (OWNER) |
| Authorized Official Contact | 8022330612 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hart Behavior Group Llc 1690 Kingsway Dr Xenia OH 45385-9526 Ph: (802) 233-0612 | Hart Behavior Group Llc 1690 Kingsway Dr Xenia OH 45385 Ph: (802) 233-0612 |
| NPI Number | 1255892824 |
|---|---|
| Provider Enumeration Date | 03/27/2019 |
| Last Update Date | 03/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255892824 | NPI | - | NPPES |
| 260 | Other | MA | MA LICENSED BEHAVIOR ANALYST |
| 1215468194 | Other | NPI | |
| 1-11-9705 | Other | BACB | |
| 14055689 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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