PROACTIVE BEHAVIOR THERAPY LLC NPI 1184275117

NPI Information

  • NPI: 1184275117
  • Provider Name: PROACTIVE BEHAVIOR THERAPY, LLC
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Doing Business As: PROACTIVE BEHAVIOR THERAPY
  • Address: 12573 CHILLICOTHE RD
    CHESTERLAND, OH
    ZIP 44026
  • Phone: (440) 201-9181

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NPI Details

PROACTIVE BEHAVIOR THERAPY, LLC is a community behavioral health in Chesterland, OH. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. PROACTIVE BEHAVIOR THERAPY, LLC NPI is 1184275117. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Proactive Behavior Therapy.

The provider's business location address is:

12573 CHILLICOTHE RD
CHESTERLAND, OH
ZIP 44026-536
Phone: (440) 201-9181
Fax: (855) 960-0149

The provider's authorized official is Leah Christine Gongola .
The authorized official title is Director and has the following contact phone number (440) 313-8636.

The enumeration date for this NPI number is 9/20/2019 and was last updated on 10/2/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103K00000XBehavior AnalystNo
2225X00000XOccupational TherapistNo
3235Z00000XSpeech-Language PathologistNo
4251S00000XCommunity/Behavioral HealthYes
5261Q00000XClinic/CenterNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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