Individual provider Active NPI

Mariah Yelisa Colon, NURSES AID

  • Behavior Technician
  • Boardman, OH
National Provider Identifier
1912704776
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
94 Wilda Ave
Boardman, OH 44512-2920
Phone
(330) 261-1267
NPI assigned
Feb 28, 2025
Last updated
Feb 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X NU
Behavior Technician 106S00000X OH Primary

Addresses

Primary practice location

94 Wilda Ave
Boardman, OH 44512-2920

Mailing address

7423 Tiffany S
Youngstown, OH 44514-3908
Phone (330) 629-2955

Other practice location 1

7423 Tiffany S
Youngstown, OH 44514-3908
Phone (330) 629-2955

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

OrganizationSpecialtyStatusNew patients
Absolute Behavior Health Care LLC PastSince Jul 21, 2024 Accepting new patients
Knapp Center for Childhood Development PastSince Feb 11, 2024 Accepting new patients

Organizations & group practices 2

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": "1740700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1912704776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7423 TIFFANY S",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445143908",
            "telephone_number": "330-629-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 WILDA AVE",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445122920",
            "telephone_number": "330-261-1267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7423 Tiffany S",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445143908",
            "country_code": "US",
            "telephone_number": "330-629-2955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLON",
        "first_name": "MARIAH",
        "middle_name": "YELISA",
        "credential": "NURSES AID",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-28",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.

Verify at the official NPI Registry.