Active NPI
Katrina Allen
- Assistant Behavior Analyst
- Kernersville, NC
National Provider Identifier
1003592403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- A3094
- Practice address
- 770 Park Centre Dr
Kernersville, NC 27284-3598 - Phone
- (704) 780-4271
- NPI assigned
- Jun 22, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Assistant Behavior Analyst | 106E00000X | A3094 | NC | Primary |
Addresses
Primary practice location
770 Park Centre Dr
Kernersville, NC 27284-3598
Mailing address
770 Park Centre Dr
Kernersville, NC 27284-3598
Phone (704) 780-4271
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 |
|---|---|---|---|
| A3094 | NC | MD | Assistant Behavior Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1003592403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 PARK CENTRE DR",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272843598",
"telephone_number": "704-780-4271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 PARK CENTRE DR",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272843598",
"telephone_number": "704-780-4271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "KATRINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-22",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "NC",
"license": "A3094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kernersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.