Active NPI
Aigbovboise Ayo Ehabahe
- Behavior Analyst
- Greensboro, NC
National Provider Identifier
1003313404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- XXXXXXXXXXXXXX
- Practice address
- 850 W Market St
415
Greensboro, NC 27401 - Phone
- (786) 357-5426
- NPI assigned
- Apr 11, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | XXXXXXXXXXXXXX | NC | Primary |
Addresses
Primary practice location
850 W Market St
415
Greensboro, NC 27401
Mailing address
850 W Market St
415
Greensboro, NC 27401
Phone (786) 357-5426
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003313404 | Medicaid | FL | |
| 104576900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| XXXXXXXXXXXXXX | NC | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713225600000",
"number": "1003313404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 W MARKET ST",
"address_2": "415",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "27401",
"telephone_number": "786-357-5426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 W MARKET ST",
"address_2": "415",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "27401",
"telephone_number": "786-357-5426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EHABAHE",
"first_name": "AIGBOVBOISE",
"middle_name": "AYO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-11",
"last_updated": "2024-04-16",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": "XXXXXXXXXXXXXX",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003313404",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104576900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.