NPI 1073010112

Miranda Elizabeth Thissen, BCBACOBA

Practitioner Behavior Analyst Worthington, OH

Practice location

Address: 445 E Dublin Granville Rd, Worthington, OH 43085-3192
Phone: (614) 436-7837
Mailing address: 22 N 1st St, Newark, OH 43055-5608

Registered specialties (2)

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-23-69933 (OH)

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Case Manager/Care Coordinator

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1073010112
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Apr 2018
Record last updated: 14 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.