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Grant Charles Kirkwood, CDCA
Peer Specialist in Andover, Ohio
NPI 1639610595

Grant Charles Kirkwood is a Peer Specialist based in Andover, OH. Grant Charles Kirkwood practices in Andover, OH and has the professional credentials of CDCA. The NPI Number for Grant Charles Kirkwood is 1639610595 and holds a License No. 165555 (Ohio).

The current practice location address for Grant Charles Kirkwood is 158 W Main St, Andover, OH and can be reached out via phone at 216-353-4723.

Location: 158 W Main St, Andover, OH, 44003-9318
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639610595
Provider Name
Grant Charles Kirkwood
Credential
CDCA
Provider Entity Type
Individual
Gender
Male
Address
158 W Main St, Andover, OH, 44003-9318
Phone Number
216-353-4723
Fax Number
Provider Enumeration Date
03/13/2017
Last Update Date
12/14/2024
institution
Provider Business Practice Location Address Details
Address
158 W Main St
City
Andover
State
Ohio
Zip
44003-9318
Phone Number
216-353-4723
Fax Number
person
Provider Business Mailing Address Details
Address
158 W Main St
City
Andover
State
Ohio
Zip
44003-9318
Phone Number
216-353-4723
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
000120 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Behavior Technician
Speciality
-
Taxonomy
106S00000X
License No.
(Ohio)
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
person
Provider's Taxonomy Details 3
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
165555 (Ohio)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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