Provider Demographics
NPI:1366287062
Name:VILLAMAR, JOANNE ALEJANDRA
Entity type:Individual
Prefix:
First Name:JOANNE
Middle Name:ALEJANDRA
Last Name:VILLAMAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9761 KISMET CT
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-2204
Mailing Address - Country:US
Mailing Address - Phone:513-859-8552
Mailing Address - Fax:
Practice Address - Street 1:9761 KISMET CT
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-2204
Practice Address - Country:US
Practice Address - Phone:513-859-8552
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician