Healthcare Provider Details

I. General information

NPI: 1972438562
Provider Name (Legal Business Name): MS. KALTRA NUREDINI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2322 E 22ND ST
CLEVELAND OH
44115-3176
US

IV. Provider business mailing address

2912 PLYMOUTH AVE
ROCKY RIVER OH
44116-3230
US

V. Phone/Fax

Practice location:
  • Phone: 216-721-4010
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: