NPI 1457940546 · live from the CMS NPI Registry
Advanced Behavioral Therapy Oh
Community/Behavioral Health in Beachwood, OH. National Provider Identifier 1457940546, active.
NPI record
| NPI | 1457940546 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Community/Behavioral Health 251S00000X |
| Practice location | 2000 Auburn Dr Ste 200, Beachwood, OH 44122 |
| Practice phone | 848-207-4174 |
| Mailing address | 222 Down Hill Run, Toms River, NJ 08755 |
| Enumerated | January 13, 2021 |
| Last updated | January 13, 2021 |
| Authorized official | Avigail Kemmoun, Ceo/ Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | — |
| Behavior Analyst | 103K00000X | — |
| Assistant Behavior Analyst | 106E00000X | — |
| Behavior Technician | 106S00000X | — |
| Occupational Therapist | 225X00000X | — |
| Speech-Language Pathologist, | 235Z00000X | — |
| Community/Behavioral Health primary | 251S00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.