Individual provider Active NPI

Caitlynn Chorba, MA, BCBA, COBA

  • Behavior Analyst
  • Dublin, OH
National Provider Identifier
1770172934
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
5700 Blazer Pkwy
Dublin, OH 43017-3665
Phone
(614) 962-8330
NPI assigned
Jan 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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 Primary

Addresses

Primary practice location

5700 Blazer Pkwy
Dublin, OH 43017-3665

Mailing address

5700 Blazer Pkwy
Dublin, OH 43017-3665

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Behavior Therapy, LLC Behavior Analyst CurrentSince May 1, 2022 Accepting new patients
Bierman Behavioral Health Services, LLC Behavior Analyst PastSince Sep 5, 2023 Accepting new patients

Locations

12573 Chillicothe Rd
Chesterland, OH 44026
Phone (440) 201-9181

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1770172934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 BLAZER PKWY",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 BLAZER PKWY",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173665",
            "telephone_number": "614-962-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHORBA",
        "first_name": "CAITLYNN",
        "credential": "MA, BCBA, COBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.