Healthcare Provider Details
I. General information
NPI: 1447127006
Provider Name (Legal Business Name): NCBI PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/20/2025
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
200 E CAMPUS VIEW BLVD STE 200
COLUMBUS OH
43235-4678
US
IV. Provider business mailing address
200 E CAMPUS VIEW BLVD STE 200
COLUMBUS OH
43235-4678
US
V. Phone/Fax
- Phone: 614-983-1331
- Fax: 614-386-8095
- Phone: 908-270-2596
- Fax: 614-386-8095
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ELIANA
ALFORJA
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 908-270-2596