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Contact Information

PROACTIVE BEHAVIOR THERAPY
12573 CHILLICOTHE ROAD
CHESTERLAND, OH44026
 Phone: 440-313-8636
 Fax: 855-960-0149
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Technician

106S00000X
 

Assistant Behavior Analyst

106E00000X
 

Behavior Analyst

103K00000X
Indicates primary specialty

NPI Profile & details for PROACTIVE BEHAVIOR THERAPY · (Female)

NPI # 1912686197
Status Active
Credentials
Entity Individual
Enumeration date 07/14/2023
Last updated 07/14/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • OH Medicaid 0477305
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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