Kelly E Sheehan, MED, BCBA, COBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

COBA.191 Issued in OH

Practice address

1365 Old Mill Path
Broadview Heights, OH 44147-3276

Phone

(724) 991-9334

NPI assigned

Apr 2, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eligius Behavior LLC

  • Behavior Analyst
  • Broadview Heights, OH
  • NPI 1598570889
  NPD Authorized official

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1457980518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 OLD MILL PATH",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441473276",
            "telephone_number": "724-991-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 OLD MILL PATH",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441473276",
            "telephone_number": "724-991-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEHAN",
        "first_name": "KELLY",
        "middle_name": "E",
        "credential": "MED, BCBA, COBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "COBA.191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirlee Anne Sembric, LPN
• Senior Nurse Practitioner Services, LLC
• Martha Maria Sereda, RN
• Kalpana Shah
• Samer Shaker, MD
• Michael Abraham Sher, D.M.D.
• Aditi M Sheth, MD
• Ethan Benjamin Shim, DC
• Lisa Sibits, PT
• Mary Silvers

• Behavior Analyst in Broadview Heights, OH
• Providers in Broadview Heights, OH by specialty
• Behavior Analyst in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.