Provider Demographics
NPI:1740748318
Name:FALCONE, JUDITH A (COBA, BCBA)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:A
Last Name:FALCONE
Suffix:
Gender:F
Credentials:COBA, BCBA
Other - Prefix:MRS
Other - First Name:JUDITH
Other - Middle Name:A
Other - Last Name:CAMPBELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6150 W ELKTON RD
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45064-9460
Mailing Address - Country:US
Mailing Address - Phone:513-680-0951
Mailing Address - Fax:
Practice Address - Street 1:6150 W ELKTON RD
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45064-9460
Practice Address - Country:US
Practice Address - Phone:513-680-0951
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-03
Last Update Date:2019-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH238103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst