Healthcare Provider Details

I. General information

NPI: 1811367444
Provider Name (Legal Business Name): DARLENE KUHEN BCBA/COBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2015
Last Update Date: 09/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

285 E 255TH ST
EUCLID OH
44132-1005
US

IV. Provider business mailing address

285 E 255TH ST
EUCLID OH
44132-1005
US

V. Phone/Fax

Practice location:
  • Phone: 740-706-1644
  • Fax:
Mailing address:
  • Phone: 740-706-1644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number168
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: