Healthcare Provider Details

I. General information

NPI: 1588583249
Provider Name (Legal Business Name): ANA PAULA LISTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 MORSE RD
COLUMBUS OH
43229-6209
US

IV. Provider business mailing address

909 MORSE RD
COLUMBUS OH
43229-6209
US

V. Phone/Fax

Practice location:
  • Phone: 561-373-5938
  • Fax:
Mailing address:
  • Phone: 561-373-5938
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number327978
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number327978
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number327978
License Number StateOH
# 4
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number327978
License Number StateOH
# 5
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number327978
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: