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NPI Code Detail

MEDICARE: CIERRA WITHERSPOON RBT

MEDICARE: CIERRA WITHERSPOON RBT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician
2106S00000XBehavior TechnicianRBT-18-70319OH

General Provider Information

NPI Number : 1437678893
Entity Type Code : Individual
Provider Name (Legal Business Name) : CIERRA WITHERSPOON RBT
Provider Business Mailing Address
First Line : 229 CHANEY MILL WAY
Second Line :
City : CANAL WINCHESTER
State : OH
Zip : 43110-1194
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3042 MCKINLEY AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43204-3653
Country : US
Telephone Number : 614-487-7805
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2017
Last Update Date : 05/20/2019

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Directions to “ CIERRA WITHERSPOON RBT” Practice Location

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