Individual provider Active NPI

Ellaha Ibadi

  • Behavior Technician
  • Raleigh, NC
National Provider Identifier
1508683079
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
3361 Grove Crabtree Cres Apt 934
Raleigh, NC 27613-3076
Phone
(919) 879-4048
NPI assigned
Sep 25, 2024
Sex
Female
Sole proprietor
No

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

3361 Grove Crabtree Cres Apt 934
Raleigh, NC 27613-3076

Mailing address

3361 Grove Crabtree Cres
Raleigh, NC 27613-3076
Phone (919) 879-4048

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 25, 2024.

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1508683079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3361 GROVE CRABTREE CRES",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276133076",
            "telephone_number": "919-879-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3361 GROVE CRABTREE CRES APT 934",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276133076",
            "telephone_number": "919-879-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBADI",
        "first_name": "ELLAHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.