Provider Demographics
NPI:1457850760
Name:WINKELMAN, ANNE MARIE (BCBA COBA)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:MARIE
Last Name:WINKELMAN
Suffix:
Gender:F
Credentials:BCBA COBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:OBERLIN
Mailing Address - State:OH
Mailing Address - Zip Code:44074-1126
Mailing Address - Country:US
Mailing Address - Phone:216-346-1082
Mailing Address - Fax:
Practice Address - Street 1:5061 STANSBURY DR
Practice Address - Street 2:
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-1230
Practice Address - Country:US
Practice Address - Phone:216-346-1082
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-02
Last Update Date:2018-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-17-28584103K00000X
OHCOBA.00403103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst