Kothman, Alie Marie
Kothman, Alie Marie is an individual health care provider with primary practice located at 773 Brooksedge Blvd , Westerville OH 43081-2821. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Kothman, Alie Marie can be contacted via phone (614) 401-3366.Contact Information
Primary practice address
773 Brooksedge Blvd
Westerville OH 43081-2821
Phone: (614) 401-3366
Fax: (317) 520-8200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | COBA.00378 | Ohio |
Profile Details
| NPI number | 1225572829 |
|---|---|
| LBN Legal business name | Kothman, Alie Marie |
| Credentials | MS, BCBA, COBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2016 |
| Last updated | Apr 17th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225572829 | NPPES |
| Other | 1-17-26118 | BCBA CERTIFICATE |
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