Provider Demographics
NPI:1366319766
Name:THIAM, MOUSLI
Entity type:Individual
Prefix:
First Name:MOUSLI
Middle Name:
Last Name:THIAM
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 1:5301 KINGSWAY CT W
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45215-5108
Mailing Address - Country:US
Mailing Address - Phone:513-886-1185
Mailing Address - Fax:513-886-1185
Practice Address - Street 1:5301 KINGSWAY CT W
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45215-5108
Practice Address - Country:US
Practice Address - Phone:513-886-1185
Practice Address - Fax:513-886-1185
Is Sole Proprietor?:No
Enumeration Date:2025-10-20
Last Update Date:2025-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst