Active NPI
Molly Beth Russell-Dabbs
- Behavior Analyst
- Albemarle, NC
National Provider Identifier
1043806615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-22-61304
- Practice address
- 1263 Freeman View Dr
Albemarle, NC 28001-8821 - Phone
- (704) 322-2252
- NPI assigned
- Dec 17, 2020
- Last updated
- Jan 10, 2025
- 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 Analyst | 103K00000X | 1-22-61304 | NC | Primary |
| Behavior Technician | 106S00000X | NU |
Addresses
Primary practice location
1263 Freeman View Dr
Albemarle, NC 28001-8821
Mailing address
1263 Freeman View Dr
Albemarle, NC 28001-8821
Phone (704) 322-2252
Other practice location 1
743 Faith St
Oakboro, NC 28129-7784
Phone (704) 322-2252
Other practice location 2
12497 Prince Rd
Norwood, NC 28128-6500
Phone (704) 322-2252
Other practice location 3
3000 Latrobe Dr
Charlotte, NC 28211-5226
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736467200000",
"number": "1043806615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1263 FREEMAN VIEW DR",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280018821",
"telephone_number": "704-322-2252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1263 FREEMAN VIEW DR",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280018821",
"telephone_number": "704-322-2252"
}
],
"practiceLocations": [
{
"address_1": "743 Faith St",
"address_purpose": "LOCATION",
"city": "Oakboro",
"state": "NC",
"postal_code": "281297784",
"country_code": "US",
"telephone_number": "704-322-2252",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12497 Prince Rd",
"address_purpose": "LOCATION",
"city": "Norwood",
"state": "NC",
"postal_code": "281286500",
"country_code": "US",
"telephone_number": "704-322-2252",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3000 Latrobe Dr",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282115226",
"country_code": "US",
"telephone_number": "704-780-4271",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUSSELL-DABBS",
"first_name": "MOLLY",
"middle_name": "BETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-17",
"last_updated": "2025-01-10",
"certification_date": "2025-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": "1-22-61304",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albemarle, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.