Organization Active NPI

Autry Behavioral Consultants & Resources

  • Community/Behavioral Health Agency
  • Raeford, NC
National Provider Identifier
1023730512
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
AUTRY BEHAVIORAL CONSULTANTS & RESOURCES
Practice address
330 Wedgefield Dr
Raeford, NC 28376-5010
Phone
(910) 583-4817
Fax
(910) 500-0603
NPI assigned
Sep 13, 2022
Last updated
Sep 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Authorized official

Name
Kiona Autry, BCBA
Title
Owner/Ceo
Phone
(910) 583-4817

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X NU
Behavior Analyst 103K00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

330 Wedgefield Dr
Raeford, NC 28376-5010

Mailing address

330 Wedgefield Dr
Raeford, NC 28376-5010
Phone (910) 583-4817

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1023730512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 WEDGEFIELD DR",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283765010",
            "telephone_number": "910-583-4817",
            "fax_number": "910-500-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 WEDGEFIELD DR",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283765010",
            "telephone_number": "910-583-4817",
            "fax_number": "910-500-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTRY BEHAVIORAL CONSULTANTS & RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "AUTRY",
        "authorized_official_first_name": "KIONA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "910-583-4817",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raeford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.