Active NPI
Elyssa Loede
- Behavior Technician
- Fairlawn, OH
National Provider Identifier
1801719190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 3505 Embassy Pkwy Ste 100
Fairlawn, OH 44333-8403 - Phone
- (330) 271-6107
- NPI assigned
- Aug 3, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | OH | Primary |
Addresses
Primary practice location
3505 Embassy Pkwy Ste 100
Fairlawn, OH 44333-8403
Mailing address
3505 Embassy Pkwy Ste 100
Fairlawn, OH 44333-8403
Phone (330) 271-6107
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wolff & Phan Autism Center, LLC | 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.
-
- Behavior Analyst
- Fairlawn, OH
- NPI 1750979233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785715200000",
"number": "1801719190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3505 EMBASSY PKWY STE 100",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443338403",
"telephone_number": "330-271-6107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 EMBASSY PKWY STE 100",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443338403",
"telephone_number": "330-271-6107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOEDE",
"first_name": "ELYSSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-03",
"last_updated": "2026-08-03",
"certification_date": "2026-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairlawn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.