Individual provider Active NPI

Tera Chmura, BCBA

  • Behavior Analyst
  • Brecksville, OH
National Provider Identifier
1477027860
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-30419 Issued in OH
Practice address
10245 Brecksville Rd
Brecksville, OH 44141-3341
Phone
(440) 554-9183
NPI assigned
Jan 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-18-30419 OH Primary

Addresses

Primary practice location

10245 Brecksville Rd
Brecksville, OH 44141-3341

Mailing address

10245 Brecksville Rd
Brecksville, OH 44141-3341
Phone (440) 554-9183

Other practice location 1

4873 Princeton Dr
North Royalton, OH 44133-3122
Phone (440) 554-9183

Other practice location 2

3681 Braemar Dr
Broadview Heights, OH 44147
Phone (440) 554-9183

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

NPI Registry JSON

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1477027860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10245 BRECKSVILLE RD",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441413341",
            "telephone_number": "440-554-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10245 BRECKSVILLE RD",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441413341",
            "telephone_number": "440-554-9183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4873 Princeton Dr",
            "address_purpose": "LOCATION",
            "city": "North Royalton",
            "state": "OH",
            "postal_code": "441333122",
            "country_code": "US",
            "telephone_number": "440-554-9183",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3681 Braemar Dr",
            "address_purpose": "LOCATION",
            "city": "Broadview Heights",
            "state": "OH",
            "postal_code": "44147",
            "country_code": "US",
            "telephone_number": "440-554-9183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHMURA",
        "first_name": "TERA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-18",
        "last_updated": "2021-06-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "1-18-30419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brecksville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.