Aries Nichelle Cobb, PH.D.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1817449 Issued in OH

Practice address

3618 Raymont Blvd
University Heights, OH 44118-2617

Phone

(216) 217-0561

Fax

(216) 848-1202

NPI assigned

Mar 6, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Edu-at-Tech, LLC

  • Behavior Analyst
  • University Heights, OH
  • NPI 1437443140
  NPD (past) Authorized official

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356566400000",
    "number": "1487928628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 RAYMONT BLVD",
            "city": "UNIVERSITY HEIGHTS",
            "state": "OH",
            "postal_code": "441182617",
            "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",
            "fax_number": "216-848-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBB",
        "first_name": "ARIES",
        "middle_name": "NICHELLE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": "36D2045034",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "1817449",
            "primary": true
        },
        {
            "code": "225CA2400X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor, Assistive Technology Practitioner",
            "state": "OH",
            "license": "1817449",
            "primary": false
        },
        {
            "code": "225CA2500X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor, Assistive Technology Supplier",
            "state": "OH",
            "license": "1817449",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0059044",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Childrens Optical Co Inc
• Matthew Christyson
• City of University Heights
• Austine Leigh Clark, CFNP
• Cleveland HTS University HTS City SD
• Leah Coburn, M.A. CCC-SLP
• Theodore Cohn
• Cole Vision Corporation
• Amy R Coleman, MA, CCC-SLP
• Comfort Wear Inc.

• 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.