Individual provider Active NPI

Alyssa Godley, RBT

  • Behavior Technician
  • Raleigh, NC
National Provider Identifier
1013745306
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-6152-719588 Issued in NC
Practice address
8521 Six Forks Rd Ste 350
Raleigh, NC 27615-5863
Phone
(919) 676-3118
NPI assigned
Jul 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-24-6152-719588 NC Primary

Addresses

Primary practice location

8521 Six Forks Rd Ste 350
Raleigh, NC 27615-5863

Mailing address

6300 Lakes Rock Dr Unit 310
Raleigh, NC 27609-3239
Phone (252) 531-6460

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

LicenseStateTypeSpecialty
RBT-24-6152-719588NCMDBehavior Technician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1013745306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 LAKES ROCK DR UNIT 310",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276093239",
            "telephone_number": "252-531-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8521 SIX FORKS RD STE 350",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276155863",
            "telephone_number": "919-676-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODLEY",
        "first_name": "ALYSSA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NC",
            "license": "RBT-24-6152-719588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.

Verify at the official NPI Registry.