Healthcare Provider Details

I. General information

NPI: 1093652976
Provider Name (Legal Business Name): BAILEY CLAIRE PLUMMER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5180 CEDAR VILLAGE DR
MASON OH
45040-3701
US

IV. Provider business mailing address

8625 DARNELL AVE
CINCINNATI OH
45236-1621
US

V. Phone/Fax

Practice location:
  • Phone: 513-810-3627
  • Fax:
Mailing address:
  • Phone: 513-810-3627
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-23-65642
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: