Active NPI
Aliyah Mariana Pitts-Wilder, RBT
- Behavior Technician
- Toledo, OH
National Provider Identifier
1124634308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-17-36394
- Practice address
- 7140 Port Sylvania Dr
Toledo, OH 43617-1176 - Phone
- (567) 408-7242
- NPI assigned
- Sep 22, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Behavior Technician | 106S00000X | RBT-17-36394 | IN | Primary |
Addresses
Primary practice location
7140 Port Sylvania Dr
Toledo, OH 43617-1176
Mailing address
7140 Port Sylvania Dr
Toledo, OH 43617-1176
Phone (567) 408-7242
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 |
|---|---|---|---|
| RBT-17-36394 | IN | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627862400000",
"number": "1124634308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7140 PORT SYLVANIA DR",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436171176",
"telephone_number": "567-408-7242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7140 PORT SYLVANIA DR",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436171176",
"telephone_number": "567-408-7242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTS-WILDER",
"first_name": "ALIYAH",
"middle_name": "MARIANA",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-22",
"last_updated": "2021-08-02",
"certification_date": "2021-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IN",
"license": "RBT-17-36394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.