Kristina Ranae Weidel

NPI #1093579906 in Dayton, Ohio

Provider Information

NPI Number: 1093579906
Entity Type: Individual
Name: Kristina Ranae Weidel
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Feb 12, 2024
Last Updated: Jan 29, 2025

Practice Location

Address: 865 S PATTERSON BLVD
City: Dayton
State: Ohio
ZIP Code: 45402-2624
Phone: (937) 966-4673

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Behavior Technician	106S00000X	Primary

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