Healthcare Provider Details

I. General information

NPI: 1689191991
Provider Name (Legal Business Name): COLUMBUS TUTORING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2017
Last Update Date: 08/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 E MAIN ST STE 211
COLUMBUS OH
43209-2536
US

IV. Provider business mailing address

PO BOX 91065
COLUMBUS OH
43209-7065
US

V. Phone/Fax

Practice location:
  • Phone: 919-673-8337
  • Fax:
Mailing address:
  • Phone: 919-673-8337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: MRS. RAYNA GORDON WEINER
Title or Position: OWNER
Credential: M.ED.
Phone: 919-673-8337