MEDICARE: MARIA WEEBER BCBA, COBA

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	COBA.00607	OH
2	103K00000X	Behavior Analyst	1-19-34779

General Provider Information

NPI Number	:	1386207629
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA WEEBER BCBA, COBA

Provider Business Mailing Address
First Line	:	1594 S CIRCLE VIEW DR
Second Line	:
City	:	SEVEN HILLS
State	:	OH
Zip	:	44131-1665
Country	:	US
Telephone Number	:	216-258-7955
Fax Number	:

Provider Business Practice Location Address
First Line	:	3570 WARRENSVILLE CENTER RD
Second Line	:
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44122-5288
Country	:	US
Telephone Number	:	216-282-1582
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2019
Last Update Date	:	07/27/2023

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