Individual provider Active NPI

Gina Randazzo, BCBA, COBA

  • Behavior Analyst
  • Brooklyn, OH
National Provider Identifier
1083108641
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
01002 Issued in OH
Practice address
7580 Northcliff Ave
Brooklyn, OH 44144-3270
Phone
(248) 846-8700
NPI assigned
Jun 18, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 01002 OH Primary

Addresses

Primary practice location

7580 Northcliff Ave
Brooklyn, OH 44144-3270

Mailing address

3428 W Market St
Fairlawn, OH 44333-3339
Phone (330) 668-4041

Other practice location 1

3428 W Market St
Fairlawn, OH 44333
Phone (330) 668-4041

Other practice location 2

3801 Sharon Park Ln Ste 150
Cincinnati, OH 45241-4171
Phone (248) 846-8700

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

LicenseStateTypeSpecialty
01002OHMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1083108641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3428 W MARKET ST",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333339",
            "telephone_number": "330-668-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7580 NORTHCLIFF AVE",
            "city": "BROOKLYN",
            "state": "OH",
            "postal_code": "441443270",
            "telephone_number": "248-846-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3428 W Market St",
            "address_purpose": "LOCATION",
            "city": "Fairlawn",
            "state": "OH",
            "postal_code": "44333",
            "country_code": "US",
            "telephone_number": "330-668-4041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3801 Sharon Park Ln Ste 150",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452414171",
            "country_code": "US",
            "telephone_number": "248-846-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDAZZO",
        "first_name": "GINA",
        "credential": "BCBA, COBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "01002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.