Avila-John, Kathleen

Avila-John, Kathleen is an individual health care provider with primary practice located at 2570 Technical Drive , Miamisburg OH 45432. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist is her primary health care specialty. Avila-John, Kathleen can be contacted via phone (937) 847-8750.

Contact Information

Primary practice address
2570 Technical Drive Miamisburg OH 45432
Phone: (937) 847-8750
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Ohio
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist 225A00000X 12091 Ohio

Profile Details

NPI number 1013447622
LBN Legal business name Avila-John, Kathleen
Credentials MT-BC, RBT, QMHS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2017
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013447622 NPPES
Ohio MEDICAID 0295409

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