| Legacy Behavioral Group | |
|
958 Tradewinds Cv Painesville OH 44077-4698 | |
| (740) 590-4347 | |
| (216) 714-7997 |
| Full Name | Legacy Behavioral Group |
|---|---|
| Speciality | Behavior Analyst |
| Location | 958 Tradewinds Cv, Painesville, Ohio |
| Authorized Official Name and Position | Ashley Romina (OWNER) |
| Authorized Official Contact | 7405904347 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Behavioral Group 958 Tradewinds Cv Painesville OH 44077-4698 Ph: (740) 590-4347 | Legacy Behavioral Group 958 Tradewinds Cv Painesville OH 44077-4698 Ph: (740) 590-4347 |
| NPI Number | 1104704832 |
|---|---|
| Provider Enumeration Date | 08/21/2025 |
| Last Update Date | 08/21/2025 |
| Certification Date | 08/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104704832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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