Active NPI
Bradly Rowan Duff
- Behavior Technician
- West Chester, OH
National Provider Identifier
1821709155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-240127
- Practice address
- 7413 Squire CT
West Chester, OH 45069-2313 - Phone
- (513) 847-4685
- Fax
- (513) 847-4763
- NPI assigned
- Dec 7, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician/Technologist | 156F00000X | |||
| Behavior Technician | 106S00000X | RBT-22-240127 | OH | Primary |
Addresses
Primary practice location
7413 Squire CT
West Chester, OH 45069-2313
Mailing address
7413 Squire CT
West Chester, OH 45069-2313
Phone (513) 847-4685
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 997266503 | Other | UNITED HEALTH CARE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22-240127 | OH | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1821709155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7413 SQUIRE CT",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450692313",
"telephone_number": "513-847-4685",
"fax_number": "513-847-4763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7413 SQUIRE CT",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450692313",
"telephone_number": "513-847-4685",
"fax_number": "513-847-4763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUFF",
"first_name": "BRADLY",
"middle_name": "ROWAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-12-07",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "156F00000X",
"taxonomy_group": "",
"desc": "Technician/Technologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "OH",
"license": "RBT-22-240127",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "997266503",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in West Chester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.