Provider Demographics
NPI:1265948970
Name:GRAVER, CHIARA MARIE (MA, BCBA)
Entity type:Individual
Prefix:MRS
First Name:CHIARA
Middle Name:MARIE
Last Name:GRAVER
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:MS
Other - First Name:CHIARA
Other - Middle Name:MARIE
Other - Last Name:SIMEONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, BCBA
Mailing Address - Street 1:15604 FISCHER RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44111-1072
Mailing Address - Country:US
Mailing Address - Phone:216-409-0291
Mailing Address - Fax:
Practice Address - Street 1:21016 HILLIARD BLVD
Practice Address - Street 2:SUITE 214
Practice Address - City:ROCKY RIVER
Practice Address - State:OH
Practice Address - Zip Code:44116
Practice Address - Country:US
Practice Address - Phone:440-895-2001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-18
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH222103K00000X
1-15-19299103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst