IndividualActive
Alicia Kokomoor, RBT
NPI 1063094431 · Behavior Technician · Fairborn, OH
Provider details
- NPI number
- 1063094431
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- Yes
- License
- BACB630845 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
919 S Central Ave
Fairborn, OH 45324-3804
Phone: (937) 878-4614
Approximate (ZIP-level) locationGet directions
Mailing address
2358 Murphy Dr
Fairborn, OH 45324-2172
Registry dates
- Enumerated
- 2021-04-26
- Last updated
- 2021-04-26
- Certified
- 2021-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.