Andrew M Penmer, M.ED., BCBA, COBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-13-13181 Issued in OH

Practice address

18151 Jefferson Park Rd
Cleveland, OH 44130-3496

Phone

(330) 967-0325

Fax

(317) 520-8200

NPI assigned

Feb 26, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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.

• ABA for Me LLC

  • Behavior Analyst
  • Bay Village, OH
  • NPI 1801405493
  NPD Authorized official

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1932449170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DEPAUW BLVD STE 3070",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462686135",
            "telephone_number": "855-324-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18151 JEFFERSON PARK RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303496",
            "telephone_number": "330-967-0325",
            "fax_number": "317-520-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "291 Bassett Rd",
            "address_purpose": "LOCATION",
            "city": "Bay Village",
            "state": "OH",
            "postal_code": "441401202",
            "country_code": "US",
            "telephone_number": "440-670-4611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENMER",
        "first_name": "ANDREW",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "M.ED., BCBA, COBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-26",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-13-13181",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "1-13-13181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janie Penebaker
• Shu Lan Peng, ACNP
• Renee A. Pengov, LSW
• Lacey Penland
• Qiauna M Penland
• Darnell Penn
• Erin Hazel Penn, M.D.
• John Joseph Pennacchio III, MD
• Kimberly A Pennell, CNP
• Nathan A Pennell, MD PHD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.

Verify at the official NPI Registry.