Individual provider Active NPI

Alexandra Latham

  • Assistant Behavior Analyst
  • Fairlawn, OH
National Provider Identifier
1134585839
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
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

Updated by the provider on Apr 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.