Edu-at-Tech, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1816075 Issued in OH

Legal business name

EDU-AT-TECH, LLC

Doing business as

Educational Assistive Technology, LLC

Practice address

3618 Raymont Blvd
University Heights, OH 44118-2617

Phone

(216) 217-0561

NPI assigned

May 31, 2011

Last updated

Dec 27, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Aries Nichelle Cobb, PH.D.NPI 1487928628

Title

Director, Behavior Therapist

Phone

(216) 217-0561

Specialties & licenses 7

Addresses

Other identifiers 1

Other names 1

• Educational Assistive Technology, LLC Doing business as

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Edu-at-Tech, LLC

  dba Educational Assistive Technology, LLC

  • Speech-Language Pathologist
  • Cleveland, OH
  • NPI 1104165521
  NPPES parent name
• Edu-at-Tech, LLC

  dba Educational Assistive Technology, LLC

  • Durable Medical Equipment & Medical Supplies
  • Cleveland, OH
  • NPI 1679810386
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aries Nichelle Cobb, PH.D.

  • Behavior Analyst
  • University Heights, OH
  • NPI 1487928628
  NPD (past) Authorized official

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356566400000",
    "number": "1437443140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91666",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441013666",
            "telephone_number": "216-217-0561",
            "fax_number": "216-848-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3618 RAYMONT BLVD",
            "city": "UNIVERSITY HEIGHTS",
            "state": "OH",
            "postal_code": "441182617",
            "telephone_number": "216-217-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDU-AT-TECH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-31",
        "last_updated": "2012-12-27",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "ARIES",
        "authorized_official_middle_name": "NICHELLE",
        "authorized_official_title_or_position": "DIRECTOR, BEHAVIOR THERAPIST",
        "authorized_official_telephone_number": "216-217-0561",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "1816075",
            "primary": true
        },
        {
            "code": "225CA2400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Rehabilitation Counselor, Assistive Technology Practitioner",
            "state": "OH",
            "license": "1816075",
            "primary": false
        },
        {
            "code": "225CA2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Rehabilitation Counselor, Assistive Technology Supplier",
            "state": "OH",
            "license": "1816075",
            "primary": false
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "OH",
            "license": "SP8177",
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "OH",
            "license": "OH1213349",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": "36D2045034",
            "primary": false
        },
        {
            "code": "347B00000X",
            "taxonomy_group": "",
            "desc": "Bus",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3123882",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Educational Assistive Technology, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Behavior Analyst in University Heights, OH
• Providers in University Heights, OH by specialty
• Behavior Analyst in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; 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.