Provider Demographics
NPI:1255227898
Name:ZIMBERG, SHAYNA BASYA (MED, BCBA, COBA)
Entity type:Individual
Prefix:
First Name:SHAYNA
Middle Name:BASYA
Last Name:ZIMBERG
Suffix:
Gender:F
Credentials:MED, BCBA, COBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3648 BENDEMEER RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-1917
Mailing Address - Country:US
Mailing Address - Phone:216-469-0818
Mailing Address - Fax:
Practice Address - Street 1:3648 BENDEMEER RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND HTS
Practice Address - State:OH
Practice Address - Zip Code:44118-1917
Practice Address - Country:US
Practice Address - Phone:216-469-0818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1-24-76017103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst