Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | COBA.00364 | OH |
NPI | 1003198573 |
---|---|
Provider Name | Maureen Intihar |
First Address | Concord Township, OH 44077-8501 |
Second Address | Cleveland, OH 44104-3815 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2011 |
Last Update Date | 10/11/2021 |