Active NPI
Sharon Midura, BCBA
- Behavior Analyst
- Twinsburg, OH
National Provider Identifier
1164969184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 11624597
- Practice address
- 8848 Commons Blvd Ste 101
Twinsburg, OH 44087-6808 - Phone
- (330) 405-8776
- NPI assigned
- Jan 28, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 11624597 | OH | Primary |
Addresses
Primary practice location
8848 Commons Blvd Ste 101
Twinsburg, OH 44087-6808
Mailing address
20677 S Woodland Rd
Shaker Heights, OH 44122-3009
Phone (216) 990-4492
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11624597 | OH | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485561600000",
"number": "1164969184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20677 S WOODLAND RD",
"city": "SHAKER HEIGHTS",
"state": "OH",
"postal_code": "441223009",
"telephone_number": "216-990-4492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8848 COMMONS BLVD STE 101",
"city": "TWINSBURG",
"state": "OH",
"postal_code": "440876808",
"telephone_number": "330-405-8776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDURA",
"first_name": "SHARON",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-28",
"last_updated": "2017-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OH",
"license": "11624597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Twinsburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.