Active NPI
Donald Gallagher, BCBA
- Behavior Analyst
- Cleveland, OH
National Provider Identifier
1821416181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- COBA.01247
- Practice address
- 11811 Shaker Blvd
Suite 204 PMB 184
Cleveland, OH 44120 - Phone
- (505) 458-6602
- Fax
- (815) 581-1005
- NPI assigned
- Apr 3, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-14-15548 | OH | |
| Behavior Analyst | 103K00000X | COBA.01247 | OH | Primary |
Addresses
Primary practice location
11811 Shaker Blvd
Suite 204 PMB 184
Cleveland, OH 44120
Mailing address
11811 Shaker Blvd
Suite 204 PMB 184
Cleveland, OH 44120
Phone (505) 458-6602
Other practice location 1
6486 Reflections Dr Apt C
Dublin, OH 43017-2333
Phone (216) 499-3436
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 |
|---|---|---|---|
| COBA.01247 | OH | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparkjoy ABA LLC | Behavior Analyst | Current | Accepting new patients |
Locations
11811 Shaker Blvd
Ste 204
Cleveland, OH 44120
Phone (216) 200-6727
Organizations & group practices 1
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.
-
- Behavior Analyst
- Ontario, OH
- NPI 1104776186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701820800000",
"number": "1821416181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11811 SHAKER BLVD",
"address_2": "SUITE 204 PMB 184",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44120",
"telephone_number": "505-458-6602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11811 SHAKER BLVD",
"address_2": "SUITE 204 PMB 184",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44120",
"telephone_number": "505-458-6602",
"fax_number": "815-581-1005"
}
],
"practiceLocations": [
{
"address_1": "6486 Reflections Dr Apt C",
"address_purpose": "LOCATION",
"city": "Dublin",
"state": "OH",
"postal_code": "430172333",
"country_code": "US",
"telephone_number": "216-499-3436",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALLAGHER",
"first_name": "DONALD",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-03",
"last_updated": "2023-12-06",
"certification_date": "2023-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OH",
"license": "1-14-15548",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "OH",
"license": "COBA.01247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.