Individual provider Active NPI

Christian Mary Elizabeth Fair

  • Behavior Analyst
  • Cincinnati, OH
National Provider Identifier
1669098745
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-12-67539
Practice address
6502 Elbrook Ave Apt 3
Cincinnati, OH 45237-4349
Phone
(513) 401-8953
NPI assigned
Jun 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-19-91669 OH
Behavior Analyst 103K00000X 1-12-67539 Primary

Addresses

Primary practice location

6502 Elbrook Ave Apt 3
Cincinnati, OH 45237-4349

Mailing address

6502 Elbrook Ave Apt 3
Cincinnati, OH 45237-4349
Phone (513) 401-8953

Other practice location 1

1300 E New Circle Rd Ste 150
Lexington, KY 40505-4322
Phone (859) 685-1019

Other names 1

  • Christian Mary Elizabeth Gobin Former name

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

State licenses

LicenseStateTypeSpecialty
RBT-19-91669OHMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1669098745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6502 ELBROOK AVE APT 3",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452374349",
            "telephone_number": "513-401-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6502 ELBROOK AVE APT 3",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452374349",
            "telephone_number": "513-401-8953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 E New Circle Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405054322",
            "country_code": "US",
            "telephone_number": "859-685-1019",
            "fax_number": "317-520-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAIR",
        "first_name": "CHRISTIAN",
        "middle_name": "MARY ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OH",
            "license": "RBT-19-91669",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-12-67539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTIAN",
            "last_name": "GOBIN",
            "middle_name": "MARY ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.