Anthony Thomas Bronaugh Sr., MED, BCBA, COBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

COBA.00851 Issued in OH

Practice address

5151 Monroe St Ste 232
Toledo, OH 43623-3461

Phone

(419) 574-9290

Fax

(248) 712-4381

NPI assigned

Nov 21, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

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.

• Ab Education and Behavior Consulting, LLC

  • Developmental - Behavioral Pediatrics Physician
  • Sylvania, OH
  • NPI 1558050112
  NPD Authorized official

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1679016836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 MONROE ST STE 232",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233461",
            "telephone_number": "419-574-9290",
            "fax_number": "248-712-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 MONROE ST STE 232",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233461",
            "telephone_number": "419-574-9290",
            "fax_number": "248-712-4381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Indian Wood Cir Ste 100",
            "address_purpose": "LOCATION",
            "city": "Maumee",
            "state": "OH",
            "postal_code": "435374039",
            "country_code": "US",
            "telephone_number": "419-830-0078",
            "fax_number": "317-520-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRONAUGH",
        "first_name": "ANTHONY",
        "middle_name": "THOMAS",
        "name_suffix": "Sr.",
        "credential": "MED, BCBA, COBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-21",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "1-21-46996",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "1-21-46996",
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "COBA.00851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Frances Brodbeck, M.D.
• Matthew Brode
• Stephan Broderick
• Cameron Lee Brogan
• Kristine Louise Brogan, NP
• Anthony Thomas Bronaugh Jr.
• Kimberly Bronikowski
• L Robert Bronko, DDS
• Donald Bronson III
• Quincy Brook-Grimes, LSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.