Adjara Latifa Dembele

Key facts

NPI

1033074620

Entity type

Individual (NPI type 1)

Primary specialty

Behavior Technician 106S00000X

Practice address

507 Hasty St Marshville, NC 28103-1287
Marshville, NC 28103

Phone

(704) 935-6218

NPI assigned

Dec 17, 2025

Sex

Female

Sole proprietor

No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Discovery ABA Behavior Technician · Marshville, NC · NPI 1083578256
  NPD BEHAVIOR TECHNICIAN

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 17, 2025.

{
    "created_epoch": "1765929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1033074620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 TARRYMORE LN SW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280277000",
            "telephone_number": "608-999-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 HASTY ST MARSHVILLE, NC 28103-1287",
            "city": "MARSHVILLE",
            "state": "NC",
            "postal_code": "28103",
            "telephone_number": "704-935-6218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMBELE",
        "first_name": "ADJARA",
        "middle_name": "LATIFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-17",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hannah Blair Davis, DMD
• Discovery ABA
• Lauren Duke, PHARMD
• Regina Kaye Earnhardt, LMBT
• Easter Seals Ucp NC & VA, Inc
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All providers in Marshville, NC · Behavior Technician in North Carolina