Healthcare Provider Details

I. General information

NPI: 1184370371
Provider Name (Legal Business Name): VERONICA L BALDWIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: VERONICA L BELKNAP

II. Dates (important events)

Enumeration Date: 02/25/2022
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

445 E DUBLIN GRANVILLE RD
WORTHINGTON OH
43085-3192
US

IV. Provider business mailing address

445 E DUBLIN GRANVILLE RD
WORTHINGTON OH
43085-3192
US

V. Phone/Fax

Practice location:
  • Phone: 614-844-3800
  • Fax:
Mailing address:
  • Phone: 614-844-3800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-414929
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: