Individual provider Active NPI

Luba Everitt, BCBA

  • Behavior Analyst
  • Cortland, OH
National Provider Identifier
1750923561
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
11938184 Issued in OH
Practice address
465 Charles Ave
Cortland, OH 44410-1301
Phone
(330) 647-4983
NPI assigned
Oct 14, 2019
Last updated
May 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 11938184 OH Primary

Addresses

Primary practice location

465 Charles Ave
Cortland, OH 44410-1301

Mailing address

465 Charles Ave
Cortland, OH 44410-1301
Phone (330) 647-4983

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
11938184OHMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Behavior Health Care LLC PastSince Jul 1, 2021 Accepting new patients
Heartlinks ABA in LLC Behavior Analyst Past Accepting new patients
Connections Therapy Group Behavior Analyst PastSince May 28, 2023 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1750923561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 CHARLES AVE",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444101301",
            "telephone_number": "330-647-4983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 CHARLES AVE",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444101301",
            "telephone_number": "330-647-4983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERITT",
        "first_name": "LUBA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "11938184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.