Active NPI
Autumn Taylor Deem
- Behavior Analyst
- Belmont, NC
National Provider Identifier
1063380236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 4687
- Practice address
- 54 Myrtle St
Belmont, NC 28012-5200 - Phone
- (704) 954-8959
- Fax
- (980) 207-2773
- NPI assigned
- Oct 28, 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 | 4687 | NC | Primary |
| Behavior Technician | 106S00000X | NC |
Addresses
Primary practice location
54 Myrtle St
Belmont, NC 28012-5200
Mailing address
PO Box 749
Belmont, NC 28012-0749
Phone (704) 869-2088
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": "1761609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1063380236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 749",
"city": "BELMONT",
"state": "NC",
"postal_code": "280120749",
"telephone_number": "704-869-2088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 MYRTLE ST",
"city": "BELMONT",
"state": "NC",
"postal_code": "280125200",
"telephone_number": "704-954-8959",
"fax_number": "980-207-2773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEEM",
"first_name": "AUTUMN",
"middle_name": "TAYLOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-28",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": "4687",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NC",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belmont, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.