Wolff, Kim Phan

Wolff, Kim Phan is an individual health care provider with primary practice located at 3505 Embassy Pkwy , Fairlawn OH 44333-8405. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Wolff, Kim Phan can be contacted via phone (330) 271-6107.

Contact Information

Primary practice address
3505 Embassy Pkwy Fairlawn OH 44333-8405
Phone: (330) 271-6107
Fax: (330) 706-4705
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X COBA.91 Ohio

Profile Details

NPI number 1376871194
LBN Legal business name Wolff, Kim Phan
Credentials M.S., BCBA, COBA
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2009
Last updated Mar 18th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1376871194 NPPES
Other 1-09-6600 BCBA CERTIFICATE

Popular Providers