Healthcare Provider Details

I. General information

NPI: 1376482273
Provider Name (Legal Business Name): TITANIUM NEWCO OHIO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6545 MARKET AVE N
CANTON OH
44721-2430
US

IV. Provider business mailing address

6545 MARKET AVE N
CANTON OH
44721-2430
US

V. Phone/Fax

Practice location:
  • Phone: 317-614-5677
  • Fax:
Mailing address:
  • Phone: 317-614-5677
  • 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: RICHARD RINK
Title or Position: CO-FOUNDER
Credential: MD
Phone: 317-614-5677