Rewired

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

REWIRED

Practice address

616 Hebron Rd Ste E
Heath, OH 43056-1444

Phone

(740) 915-7323

NPI assigned

Oct 20, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Rebecca J Petrey, B.ED., M-ED.CI, C/AO

Title

Owner

Phone

(740) 915-7323

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1720599467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 HEBRON RD STE E",
            "city": "HEATH",
            "state": "OH",
            "postal_code": "430561444",
            "telephone_number": "740-915-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 HEBRON RD STE E",
            "city": "HEATH",
            "state": "OH",
            "postal_code": "430561444",
            "telephone_number": "740-915-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REWIRED",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-20",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "PETREY",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-915-7323",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.ED., M-ED.CI, C/AO"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Heath, OH
• Providers in Heath, OH by specialty
• Behavior Analyst in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.