Individual provider Active NPI

Alani Ardito

  • Behavior Technician
  • Moncks Corner, SC
National Provider Identifier
1194359174
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
530 Lateleaf Dr
Moncks Corner, SC 29461-6729
Phone
(719) 726-1843
NPI assigned
Feb 27, 2020
Sex
Female
Sole proprietor
No

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X SC Primary

Addresses

NPPES NPI Registry

Primary practice location

530 Lateleaf Dr
Moncks Corner, SC 29461-6729

Mailing address

530 Lateleaf Dr
Moncks Corner, SC 29461-6729
Phone (719) 726-1843

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 27, 2020.

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1194359174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 LATELEAF DR",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294616729",
            "telephone_number": "719-726-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 LATELEAF DR",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294616729",
            "telephone_number": "719-726-1843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARDITO",
        "first_name": "ALANI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moncks Corner, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.