Healthcare Provider Details
I. General information
NPI: 1982830683
Provider Name (Legal Business Name): LINDSAY CANDEL MS, MED, BCBA, COBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/09/2009
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1920 CHURCHILL RD STE 107
GIRARD OH
44420-2484
US
IV. Provider business mailing address
1920 CHURCHILL RD STE 107
GIRARD OH
44420-2484
US
V. Phone/Fax
- Phone: 330-333-0481
- Fax:
- Phone: 330-333-0481
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | 1-07-3882 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: