Gerald Allen Hazley

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

SX567375 Issued in OH

Practice address

228 N Broadway St
Dayton, OH 45402-6610

Phone

(937) 542-4540

NPI assigned

Oct 30, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1761782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1235008103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3313 NINA V LN",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454246215",
            "telephone_number": "937-542-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 N BROADWAY ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454026610",
            "telephone_number": "937-542-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZLEY",
        "first_name": "GERALD",
        "middle_name": "ALLEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-30",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "SX567375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali E Hays
• Gabriel Joe Hays, D.O.
• Gerret Hayslip
• Jeremy R Hayworth, LPCC-S
• Karen Hazlett
• Carmen Hazlip, LPN
• Shaniqua Carmen Hazlip
• Lucette Anne Hazoume
• HCF of Crestview, Inc.
• HCF of Crestview, Inc.

• Behavior Analyst in Dayton, OH
• Providers in Dayton, OH by specialty
• Behavior Analyst in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.