Healthcare Provider Details

I. General information

NPI: 1346194792
Provider Name (Legal Business Name): RONNETTE HARDISON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/23/2026
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1329 DOTY DR
AKRON OH
44306-4172
US

IV. Provider business mailing address

1329 DOTY DR
AKRON OH
44306-4172
US

V. Phone/Fax

Practice location:
  • Phone: 234-417-1057
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: