Gaige Laverty

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3611 Socialville Foster Rd Ste 101
Mason, OH 45040-7353

Phone

(937) 322-5779

NPI assigned

Jun 14, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1063196418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6469 HAMPSHIRE TRL",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450445797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 SOCIALVILLE FOSTER RD STE 101",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450407353",
            "telephone_number": "937-322-5779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6469 Hampshire Trl",
            "address_purpose": "LOCATION",
            "city": "Liberty Township",
            "state": "OH",
            "postal_code": "450445797",
            "country_code": "US",
            "telephone_number": "513-804-6785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVERTY",
        "first_name": "GAIGE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-14",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Larimore, IBCLC
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• Krista M Lattarulo, C.N.P.
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• Nancy Jean Leblanc
• Carissa Ledford

• Behavior Technician in Mason, OH
• Providers in Mason, OH by specialty
• Behavior Technician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.

Verify at the official NPI Registry.