Fantasia Durham

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

225 Fair Ave NE
New Philadelphia, OH 44663-2837

Phone

(330) 309-3133

NPI assigned

Feb 28, 2023

Sex

Female

Sole proprietor

No

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.

• Applied Behavioral Connections LLC

  • Behavior Analyst
  • Canton, OH
  • NPI 1033772082

  Behavior Technician

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 28, 2023.

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1730888652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 W 3RD ST",
            "city": "UHRICHSVILLE",
            "state": "OH",
            "postal_code": "446832038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 FAIR AVE NE",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446632837",
            "telephone_number": "330-309-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "FANTASIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. David D Starr LLC
• Renne R Dragomir, LPCC
• Robert E Draman, LPCC
• Patricia Ann Duncan
• Shelby Dunn, QMHS AC
• Dusini Drugs Inc
• Dusini Drugs Inc
• Princess Dweh
• April Edwards
• Edwin J Hawk DDS Inc

• All providers in New Philadelphia, OH
• Behavior Technician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.