Organization Active NPI

Abode ABA

  • Behavior Analyst
  • Charlotte, NC
National Provider Identifier
1073359857
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ABODE ABA
Practice address
301 S McDowell St Ste 125-1027
Charlotte, NC 28204-2623
Phone
(980) 288-5692
NPI assigned
Jul 2, 2024
Last updated
Mar 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Authorized official

Name
Sam Dickstein
Title
Principle
Phone
(980) 360-1116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

301 S McDowell St Ste 125-1027
Charlotte, NC 28204-2623

Mailing address

301 S McDowell St Ste 125-1027
Charlotte, NC 28204-2623
Phone (980) 288-5692

National Provider Directory

National Provider Directory

Locations

301 S McDowell St
Ste 1251027
Charlotte, NC 28204
Phone (980) 288-5692

NPI Registry JSON

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1073359857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S MCDOWELL ST STE 125-1027",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042623",
            "telephone_number": "980-288-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S MCDOWELL ST STE 125-1027",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042623",
            "telephone_number": "980-288-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABODE ABA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-02",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "DICKSTEIN",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "PRINCIPLE",
        "authorized_official_telephone_number": "980-360-1116"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

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

Verify at the official NPI Registry.