SearchOhio103K00000X

Alyssa Jaeck, BCBA

NPI 1245739085 · on the registry since 2018

Practice

Address
7140 Port Sylvania Dr
Toledo, OH 43617
Phone
(567) 408-7242
Organisation at this address
Promedica Central Physicians, Llc
Promedica Central Physicians, Llc
Promedica Central Physicians, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
124

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-02-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio