Healthcare Provider Details

I. General information

NPI: 1235040825
Provider Name (Legal Business Name): CAROLINE G SITES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

195 W SCHROCK RD
WESTERVILLE OH
43081-2890
US

IV. Provider business mailing address

7500 TOWNSHIP ROAD 37 NW
SOMERSET OH
43783-9796
US

V. Phone/Fax

Practice location:
  • Phone: 614-355-7570
  • Fax:
Mailing address:
  • Phone: 614-355-7570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: