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NPI Code Detail

MEDICARE: JODI LYNNE CHUMITA BA

MEDICARE: JODI LYNNE CHUMITA BA
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 TechnicianRBT-20-113331OH
2106E00000XAssistant Behavior Analyst0-24-15432OH

General Provider Information

NPI Number : 1720697154
Entity Type Code : Individual
Provider Name (Legal Business Name) : JODI LYNNE CHUMITA BA
Provider Business Mailing Address
First Line : 1855 S TAYLOR RD
Second Line :
City : CLEVELAND HEIGHTS
State : OH
Zip : 44118-2161
Country : US
Telephone Number : 216-851-2221
Fax Number :
Provider Business Practice Location Address
First Line : 1855 S TAYLOR RD
Second Line :
City : CLEVELAND HEIGHTS
State : OH
Zip : 44118-2161
Country : US
Telephone Number : 216-851-2221
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2020
Last Update Date : 07/29/2025

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Directions to “ JODI LYNNE CHUMITA BA” Practice Location

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