Active NPI
Alexandra Latham
- Assistant Behavior Analyst
- Fairlawn, OH
National Provider Identifier
1134585839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- Practice address
- 3428 W Market St
Fairlawn, OH 44333-3339 - Phone
- (330) 668-4041
- Fax
- (330) 666-5626
- NPI assigned
- Jan 11, 2016
- 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 |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | Primary | ||
| Behavior Technician | 106S00000X | OH |
Addresses
Primary practice location
3428 W Market St
Fairlawn, OH 44333-3339
Mailing address
3428 W Market St
Fairlawn, OH 44333-3339
Phone (330) 668-4041
Other practice location 1
61 N Cleveland Massillon Rd
Fairlawn, OH 44333-4558
Phone (330) 668-4041 ext. 66840
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554249600000",
"number": "1134585839",
"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",
"fax_number": "330-666-5626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3428 W MARKET ST",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443333339",
"telephone_number": "330-668-4041",
"fax_number": "330-666-5626"
}
],
"practiceLocations": [
{
"address_1": "61 N Cleveland Massillon Rd",
"address_purpose": "LOCATION",
"city": "Fairlawn",
"state": "OH",
"postal_code": "443334558",
"country_code": "US",
"telephone_number": "330-668-4041 x66840",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LATHAM",
"first_name": "ALEXANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-11",
"last_updated": "2019-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "OH",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairlawn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.