Active NPI
Gabriella Tassa
- Behavior Analyst
- Jacksonville, NC
National Provider Identifier
1093375552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-49951
- Practice address
- 200 Doctors Dr Ste J
Jacksonville, NC 28546-6308 - Phone
- (404) 400-5004
- NPI assigned
- Jun 17, 2019
- Last updated
- Jun 6, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-21-49951 | NC | Primary |
Addresses
Primary practice location
200 Doctors Dr Ste J
Jacksonville, NC 28546-6308
Mailing address
9375 E Shea Blvd
Scottsdale, AZ 85260-6991
Phone (404) 400-5004
Other practice location 1
9375 E Shea Blvd
Scottsdale, AZ 85260-6991
Phone (404) 400-5004
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Center for Autism Services, LLC | Behavior Analyst | Past | Accepting new patients |
| Hopebridge LLC | Behavior Analyst | Past | Accepting new patients |
| The Carolina Center for ABA & Autism Treatment | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Carolina Center for ABA and Autism Treatment
- Behavior Analyst
- Durham, NC
- NPI 1912069303
-
- Community/Behavioral Health Agency
- Cary, NC
- NPI 1184027252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780704000000",
"number": "1093375552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9375 E SHEA BLVD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852606991",
"telephone_number": "404-400-5004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 DOCTORS DR STE J",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285466308",
"telephone_number": "404-400-5004"
}
],
"practiceLocations": [
{
"address_1": "9375 E Shea Blvd",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852606991",
"country_code": "US",
"telephone_number": "404-400-5004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TASSA",
"first_name": "GABRIELLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-17",
"last_updated": "2026-06-06",
"certification_date": "2026-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": "1-21-49951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.