NPI 1619348992 · live from the CMS NPI Registry
Jillian Austin, PhD, BCBA
Psychologist, Clinical Child & Adolescent in Cincinnati, OH. National Provider Identifier 1619348992, active.
NPI record
| NPI | 1619348992 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical Child & Adolescent 103TC2200X |
| Practice location | 4371 Ferguson Dr, Cincinnati, OH 45245 |
| Practice phone | 513-752-3650 |
| Enumerated | October 13, 2015 |
| Last updated | March 20, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical Child & Adolescent primary | 103TC2200X | P.07914 (OH) |
| Behavior Analyst | 103K00000X | 128-140 (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.