Individual provider Active NPI

Ralph Lorenz Casaba Pelia

  • Behavior Technician
  • Anchorage, AK
National Provider Identifier
1407450604
Registry record updated Nov 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
540 W International Airport Rd
Anchorage, AK 99518-1105
Phone
(907) 561-5335
NPI assigned
Nov 28, 2020
Sex
Male
Sole proprietor
Yes

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 Primary

Addresses

NPPES NPI Registry

Primary practice location

540 W International Airport Rd
Anchorage, AK 99518-1105

Mailing address

540 W International Airport Rd
Anchorage, AK 99518-1105
Phone (907) 561-5335

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 28, 2020.

{
    "created_epoch": "1606521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606521600000",
    "number": "1407450604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 W INTERNATIONAL AIRPORT RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995181105",
            "telephone_number": "907-561-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W INTERNATIONAL AIRPORT RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995181105",
            "telephone_number": "907-561-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELIA",
        "first_name": "RALPH LORENZ",
        "middle_name": "CASABA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-28",
        "last_updated": "2020-11-28",
        "certification_date": "2020-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.