Brittany Theberge, M.ED., BCBA, COBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-9949 Issued in OH

Practice address

24865 Detroit Rd
Westlake, OH 44145-2512

Phone

(440) 250-8800

NPI assigned

Mar 31, 2017

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

Other names 1

• Brittany Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1073045787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16473 CRAIGMERE DR",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441306420",
            "telephone_number": "216-906-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24865 DETROIT RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452512",
            "telephone_number": "440-250-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEBERGE",
        "first_name": "BRITTANY",
        "credential": "M.ED., BCBA, COBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "1-14-9949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "SMITH",
            "credential": "M.ED., BCBA, COBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• The Cleveland Clinic Foundation
• The Cleveland Clinic Foundation
• The Cleveland Clinic Foundation
• The Cleveland Clinic Foundation
• The Family Dentist of Westlake Jonathan J Klineman DDS Inc
• Steven Ashley Thellmann, M.S., CCC-SLP
• Therapeutic Sleep Solutions LTD
• Therapeutic Sleep Solutions LTD
• Carol A Thierry, AA
• Think Differently ABA Therapy LLC

• Behavior Analyst in Westlake, OH
• Providers in Westlake, OH by specialty
• Behavior Analyst in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.