Provider Demographics
NPI:1497528277
Name:MULLIKIN, PATRICIA D (MS, BCBA, COBA)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:D
Last Name:MULLIKIN
Suffix:
Gender:F
Credentials:MS, BCBA, COBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16930 N MEADOWS CIR
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136-6233
Mailing Address - Country:US
Mailing Address - Phone:440-343-0267
Mailing Address - Fax:
Practice Address - Street 1:16930 N MEADOWS CIR
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136-6233
Practice Address - Country:US
Practice Address - Phone:440-343-0267
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-02
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH00912103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst