MEDICARE: BARBARA ELLEN VOLLETTE

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
1	106S00000X	Behavior Technician		OH

General Provider Information

NPI Number	:	1679894513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA ELLEN VOLLETTE

Provider Business Mailing Address
First Line	:	8970 MIMOSA LN
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-3635
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9560 WOODLAND HILLS DR
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45011-9313
Country	:	US
Telephone Number	:	513-638-2685
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2010
Last Update Date	:	08/08/2024

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