Active NPI
Arrick Addison Jr.
- Behavior Technician
- Bedford Heights, OH
National Provider Identifier
1548027469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 23660 Miles Rd Ste 100
Bedford Heights, OH 44128-5461 - Phone
- (419) 392-5969
- NPI assigned
- Mar 6, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
23660 Miles Rd Ste 100
Bedford Heights, OH 44128-5461
Mailing address
3236 Pinecrest Dr
Brunswick, OH 44212-3834
Phone (216) 543-8135
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1548027469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3236 PINECREST DR",
"city": "BRUNSWICK",
"state": "OH",
"postal_code": "442123834",
"telephone_number": "216-543-8135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23660 MILES RD STE 100",
"city": "BEDFORD HEIGHTS",
"state": "OH",
"postal_code": "441285461",
"telephone_number": "419-392-5969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADDISON",
"first_name": "ARRICK",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-03-06",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.