1720667975 NPI number — MRS. CELESTE MADELINE SLOAN MS, BCBA, LBA, COBA

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720667975 NPI number — MRS. CELESTE MADELINE SLOAN MS, BCBA, LBA, COBA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SLOAN
Provider First Name:
CELESTE
Provider Middle Name:
MADELINE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MS, BCBA, LBA, COBA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FLOCK
Provider Other First Name:
CELESTE
Provider Other Middle Name:
MADELINE
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
RBT
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1720667975
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/21/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5218 CHARLOE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CINCINNATI
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45227-1034
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
509-254-1279
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16560 COMMERCE CT STE A&B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MIDDLEBURG HEIGHTS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44130-6305
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
855-295-3276
Provider Business Practice Location Address Fax Number:
888-588-2752
Provider Enumeration Date:
04/05/2021

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103K00000X , with the licence number:  COBA.01688 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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