Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1326504002 Deactivated / Inactive NPI Male Practitioner

Jeremy Daniel Meduri , BCBA

Behavior Analyst • Rocky River, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jeremy Meduri has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 18, 2019
NPI Deactivation Date September 04, 2025
Total Practice Duration ~6 Years of Practice (2019 – 2025)

Professional Overview & Biography Verified Profile Summary

Jeremy Meduri, BCBA was a registered Behavior Analyst practicing in Rocky River, OH. Throughout an active medical career spanning 6 years, Jeremy Meduri provided care at the practice location at 19000 LAKE RD APT 143 until profile deactivation on 2025-09-04.

Practice Location & Contact Primary Location

Practice Address

19000 Lake Rd Apt 143

Rocky River, OH 441161760

Telephone 3302834145
Associated Practice Facility / Clinic
🏢 Aba Behavioral Specialists Facility NPI 1467916130

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Rocky River, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 3.0 Yrs
State Avg: 14.8 Yrs
Regional Practice Density
8 Specialists

Practicing in Rocky River, OH (1661 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License OH 1-17-28658

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Lindsey Fascione , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1437873361

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
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NPI Profile Deactivated September 04, 2025

Record deactivated on September 04, 2025

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Updated Practice Location October 03, 2023

Registered at 896 CORPORATE WAY, WESTLAKE, OH 441451502 (Tel: 3302834145)

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Updated Business Mailing Address October 03, 2023

Registered at 896 CORPORATE WAY, WESTLAKE, OH 441451502 (Tel: 3302834145)

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Provider Name / Credentials Updated October 03, 2023

Recorded as JEREMY MEDURI, BCBA, COBA

NPI Profile Active February 18, 2019

NPI status registered as active in NPPES database

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Updated Practice Location February 18, 2019

Registered at 19000 LAKE RD APT 143, ROCKY RIVER, OH 441161760 (Tel: 3302834145)

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Updated Business Mailing Address February 18, 2019

Registered at 19000 LAKE RD APT 143, ROCKY RIVER, OH 441161760 (Tel: 3302834145)

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Provider Name / Credentials Updated February 18, 2019

Recorded as JEREMY MEDURI, BCBA

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2019

Behavior Analyst (License #1-17-28658 in OH)

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Initial NPI Registration & Enumeration February 18, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1326504002
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 18, 2019
Last Update: February 18, 2019
Deactivation Date: September 04, 2025

Mailing Address

19000 Lake Rd Apt 143

Rocky River, OH 441161760

Phone: 3302834145

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.