| Proactive Behavior Services, Llc | |
|
12573 Chillicothe Rd Chesterland OH 44026-2536 | |
| (440) 201-9181 | |
| (855) 960-0149 |
| Full Name | Proactive Behavior Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12573 Chillicothe Rd, Chesterland, Ohio |
| Authorized Official Name and Position | Leah Christine Gongola (DIRECTOR) |
| Authorized Official Contact | 4403138636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Proactive Behavior Services, Llc 12573 Chillicothe Rd Chesterland OH 44026-2536 Ph: (440) 201-9181 | Proactive Behavior Services, Llc 12573 Chillicothe Rd Chesterland OH 44026-2536 Ph: (440) 201-9181 |
| NPI Number | 1184275117 |
|---|---|
| Provider Enumeration Date | 09/20/2019 |
| Last Update Date | 08/02/2023 |
| Certification Date | 08/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184275117 | NPI | - | NPPES |
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