| Sunrise Aba Of Ohio, Llc | |
| 
					2606 Hilliard Rome Rd, Suite 2011 Hillard OH 43026  | |
| (628) 250-7500 | |
| Not Available | 
| Full Name | Sunrise Aba Of Ohio, Llc | 
|---|---|
| Speciality | Behavior Analyst | 
| Location | 2606 Hilliard Rome Rd, Suite 2011, Hillard, Ohio | 
| Authorized Official Name and Position | Brady Keith (DIRECTOR OF OPERATIONS) | 
| Authorized Official Contact | 6282507500 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sunrise Aba Of Ohio, Llc 505 San Marin Dr Ste 100b Novato CA 94945-1309 Ph: (628) 250-7500  | Sunrise Aba Of Ohio, Llc 2606 Hilliard Rome Rd, Suite 2011 Hillard OH 43026 Ph: (628) 250-7500  | 
| NPI Number | 1164150181 | 
|---|---|
| Provider Enumeration Date | 08/09/2022 | 
| Last Update Date | 08/09/2022 | 
| Certification Date | 07/25/2022 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1164150181 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |