Proactive Behavior Therapy

LBN: Proactive Behavior Therapy
Proactive Behavior Therapy is an health care organization with primary practice located at 12573 Chillicothe Road , Chesterland OH 44026. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is the primary health care specialty. Proactive Behavior Therapy can be contacted via phone (440) 313-8636, or through Gongola, Leah Christine via phone (440) 313-8636.

Contact Information

Primary practice address
12573 Chillicothe Road Chesterland OH 44026
Phone: (440) 313-8636
Fax: (855) 960-0149
Website:
Map and Directions
Authorized official contact:
Name: Gongola, Leah Christine PH.D., BCBA-D, COBA
Phone: (440) 313-8636

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1912686197
LBN Legal business name Proactive Behavior Therapy
DBA Doing business as
Authorized official Gongola, Leah Christine PH.D., BCBA-D, COBA
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2023
Last updated Jul 14th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912686197 NPPES
Ohio MEDICAID 0477305

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