Avery Rae Braswell

Individual provider Active NPI Behavior Technician · Winterville, NC

NPI 1003730680 · NPPES record last updated Aug 10, 2026

Key facts

NPI
1003730680
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
342 Lafollette Dr
Winterville, NC 28590-6903
Phone
(984) 361-8569
NPI assigned
Aug 6, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X NC Yes

Addresses

Primary practice location

342 Lafollette Dr
Winterville, NC 28590-6903

Mailing address

342 Lafollette Dr
Winterville, NC 28590-6903

Other providers in Winterville, NC

All providers in Winterville, NC · Behavior Technician in North Carolina

Sources for this page

Verify at the official NPI Registry.