Sharona Hospodar, BCBA, COBA
Individual provider Active NPI Behavior Analyst · Etna, OH
NPI 1821576844 · NPPES record last updated Apr 7, 2021
Key facts
- NPI
- 1821576844
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 122 Kaitlyn Dr
Etna, OH 43062-7115 - Phone
- (614) 546-8777
- NPI assigned
- Aug 1, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
122 Kaitlyn Dr
Etna, OH 43062-7115
Mailing address
PO Box 326
Etna, OH 43018-0326
Phone (614) 546-8777
Other providers in Etna, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.