Healthcare Provider Details

I. General information

NPI: 1093699415
Provider Name (Legal Business Name): CONSTANCE TURNER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2025
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16603 HARVARD AVE
CLEVELAND OH
44128-2203
US

IV. Provider business mailing address

3595 WASHINGTON AVE
CINCINNATI OH
45229-2617
US

V. Phone/Fax

Practice location:
  • Phone: 216-999-7444
  • Fax:
Mailing address:
  • Phone: 513-351-5801
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: