Healthcare Provider Details

I. General information

NPI: 1730005604
Provider Name (Legal Business Name): MOMENTUM ABA OF OHIO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 SUPERIOR AVE STE 1618
CLEVELAND OH
44114-2709
US

IV. Provider business mailing address

3 ASHER DR
SPRING VALLEY NY
10977-2786
US

V. Phone/Fax

Practice location:
  • Phone: 845-367-9222
  • Fax:
Mailing address:
  • Phone: 845-367-9222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: YECHIEL SPREI
Title or Position: OWNER
Credential: BCBA
Phone: 347-563-8828