Individual provider Active NPI

Josiah Altman

  • Behavior Technician
  • Dover, DE
National Provider Identifier
1770053563
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-18-72334 Issued in DE
Practice address
1001 S Bradford St Ste 9
Dover, DE 19904-4153
Phone
(302) 526-1959
Fax
(302) 526-2182
NPI assigned
Dec 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-18-72334 DE Primary

Addresses

Primary practice location

1001 S Bradford St Ste 9
Dover, DE 19904-4153

Mailing address

1001 S Bradford St Ste 9
Dover, DE 19904-4153
Phone (302) 526-1959

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-18-72334DEMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Kidz Rehabilitation Behavior Technician Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1770053563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S BRADFORD ST STE 9",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044153",
            "telephone_number": "302-526-1959",
            "fax_number": "302-526-2182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S BRADFORD ST STE 9",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044153",
            "telephone_number": "302-526-1959",
            "fax_number": "302-526-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTMAN",
        "first_name": "JOSIAH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-05",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "DE",
            "license": "RBT-18-72334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.