Andrea Dawn Speece, BCBA, COBA
Individual provider Active NPI Behavior Analyst · Huntsburg, OH
NPI 1831786243 · NPPES record last updated Dec 31, 2020
Key facts
- NPI
- 1831786243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 225 (OH)
- Practice address
- 15445 Chardon Windsor Rd
Huntsburg, OH 44046-8728 - Phone
- (440) 313-8636
- NPI assigned
- Dec 31, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 225 | OH | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proactive Behavior Therapy, LLC | Behavior Analyst | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 225 | OH | Yes |
Addresses
Primary practice location
15445 Chardon Windsor Rd
Huntsburg, OH 44046-8728
Mailing address
4820 S Duck Creek Rd
North Jackson, OH 44451-9736
Phone (330) 718-2693
Other providers in Huntsburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.