Ray Allen Main Jr., RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

18-48698 Issued in OH

Practice address

5500 Market St Ste 119
Boardman, OH 44512-2616

Phone

(330) 991-9117

NPI assigned

Jun 7, 2022

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": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1235868043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MARKET ST STE 119",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445122616",
            "telephone_number": "330-991-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 MARKET ST STE 119",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445122616",
            "telephone_number": "330-991-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIN",
        "first_name": "RAY",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "OH",
            "license": "18-48698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahoning Valley Hospital, Inc.
• Mahoning Valley Resource Initiative
• George Maidaa, MD
• Katie Lyn Maillis, PHARMD
• Arlena Main, RBT
• Mary Kay Malenic, ST
• Melissa Anne Malito, COTA/L
• Giana Marie Malvasi
• Marisa M Mancuso, DO
• Jennifer Manning, DO

• Behavior Technician in Boardman, OH
• Providers in Boardman, OH by specialty
• Behavior Technician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.