Carena Brittain, BCBA, COBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-12-11859

Practice address

12573 Chillicothe Rd
Chesterland, OH 44026-2536

Phone

(440) 313-7929

NPI assigned

Aug 22, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1043938475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13132 W GEAUGA TRL",
            "city": "CHESTERLAND",
            "state": "OH",
            "postal_code": "440262832",
            "telephone_number": "330-232-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12573 CHILLICOTHE RD",
            "city": "CHESTERLAND",
            "state": "OH",
            "postal_code": "440262536",
            "telephone_number": "440-313-7929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12573 Chillicothe Rd",
            "address_purpose": "LOCATION",
            "city": "Chesterland",
            "state": "OH",
            "postal_code": "440262536",
            "country_code": "US",
            "telephone_number": "440-313-7920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRITTAIN",
        "first_name": "CARENA",
        "credential": "BCBA, COBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-12-11859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cbrittain@proactivebehaviorservices.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12573 Chillicothe Rd",
            "city": "Chesterland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440262536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alicia Blackley, LPCC-S
• Renee Blakeley, PHARMD
• Sara Marie Bohac, M.D.
• Damon M Boogaart, DNP, CFNP
• Chad Borntreger
• Madison Davis Brooks
• Danielle Cardillo
• Cardinal Physical Therapy and Rehabilitation, LLC
• Shari Lynn Carr, SLP
• Jennifer Charna, LPCC

• All providers in Chesterland, OH
• Behavior Analyst in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.