Provider Demographics
NPI:1245770494
Name:SEMINAROTI, GINA (MED, BCBA, COBA)
Entity Type:Individual
Prefix:
First Name:GINA
Middle Name:
Last Name:SEMINAROTI
Suffix:
Gender:F
Credentials:MED, BCBA, COBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8536 CROW DR
Mailing Address - Street 2:
Mailing Address - City:MACEDONIA
Mailing Address - State:OH
Mailing Address - Zip Code:44056-1900
Mailing Address - Country:US
Mailing Address - Phone:330-888-9596
Mailing Address - Fax:
Practice Address - Street 1:8536 CROW DR
Practice Address - Street 2:
Practice Address - City:MACEDONIA
Practice Address - State:OH
Practice Address - Zip Code:44056-1900
Practice Address - Country:US
Practice Address - Phone:330-888-9596
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-06
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1-16-23948103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst