Organization Active NPI

Roads to Recovery

  • Behavior Analyst
  • Fairborn, OH
National Provider Identifier
1396455994
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ROADS TO RECOVERY
Practice address
5383 Intrastate Dr
Fairborn, OH 45324-6158
Phone
(937) 207-2788
NPI assigned
Dec 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Authorized official

Name
Mrs. Haley Moody
Title
Administrator
Phone
(937) 207-2788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

5383 Intrastate Dr
Fairborn, OH 45324-6158

Mailing address

5383 Intrastate Dr
Fairborn, OH 45324-6158
Phone (937) 207-2788

National Provider Directory

National Provider Directory

Locations

5383 Intrastate Dr
Fairborn, OH 45324
Phone (937) 207-2788

NPI Registry JSON

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1396455994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5383 INTRASTATE DR",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453246158",
            "telephone_number": "937-207-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5383 INTRASTATE DR",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453246158",
            "telephone_number": "937-207-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROADS TO RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-02",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "HALEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "937-207-2788",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairborn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.