MEDICARE: THERAPY & BEHAVIOR SERVICES OF OHIO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1376043778
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERAPY & BEHAVIOR SERVICES OF OHIO

Provider Business Mailing Address
First Line	:	6009 LANDERHAVEN DR STE D
Second Line	:
City	:	MAYFIELD HTS
State	:	OH
Zip	:	44124-4192
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6009 LANDERHAVEN DR STE D
Second Line	:
City	:	MAYFIELD HTS
State	:	OH
Zip	:	44124-4192
Country	:	US
Telephone Number	:	216-896-6310
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	KELLI CARSON
Credential	:
Telephone Number	:	216-896-6310

Provider Enumeration Date	:	02/13/2018
Last Update Date	:	02/13/2018

Similar Medicare Providers

1508869504 — TERESA J. GUTIERREZ LISW
Practice Location Address:

6009 LANDERHAVEN DR , STE F
MAYFIELD HTS, OH
44124-4192

Practice Phone: 440-646-0671
Practice Fax: 440-461-5033

1770585820 — MR. ALAN S. GARSON LISW
Practice Location Address:

6009 LANDERHAVEN DR
MAYFIELD HTS, OH
44124-4192

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Practice Fax:

1104015072 — TERESA J GUTIERREZ, LISW, INC.
Practice Location Address:

6009 LANDERHAVEN DR , STE F
MAYFIELD HTS, OH
44124-4192

Practice Phone: 440-646-0671
Practice Fax: 440-641-5033

1184627853 — DR. CAROL S. COLBERT PH.D.
Practice Location Address:

6009 LANDERHAVEN DR , STE F
MAYFIELD HEIGHTS, OH
44124-4192

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1750389771 — PATRICK DANIEL ENDERS MD
Practice Location Address:

6009 LANDERHAVEN DR , SUITE F
MAYFIELD HEIGHTS, OH
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Practice Fax:

1760566798 — DR. JOSEPH RICHARD LEON D.M.D.
Practice Location Address:

6009 LANDERHAVEN DR STE E
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44124-4192

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Practice Fax: 440-720-0846

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