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NPI Code Detail

MEDICARE: HEATHER GARRETT MED, BCBA

MEDICARE:   HEATHER  GARRETT  MED, BCBA
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
1103K00000XBehavior Analyst1-20-46345OH
2103K00000XBehavior AnalystCOBA.00769OH

General Provider Information

NPI Number : 1699315663
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER GARRETT MED, BCBA
Provider Business Mailing Address
First Line : 6460 CENTERVILLE BUSINESS PKWY
Second Line :
City : CENTERVILLE
State : OH
Zip : 45459-2633
Country : US
Telephone Number : 937-723-6453
Fax Number :
Provider Business Practice Location Address
First Line : 6460 CENTERVILLE BUSINESS PKWY
Second Line :
City : CENTERVILLE
State : OH
Zip : 45459-2633
Country : US
Telephone Number : 937-723-6453
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2020
Last Update Date : 01/05/2026

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Directions to “ HEATHER GARRETT MED, BCBA” Practice Location

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