Active NPI
Alethea Miller Allen
- Behavior Technician
- Elizabeth City, NC
National Provider Identifier
1104282698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1431B Weeksville Rd
Elizabeth City, NC 27909-8431 - Phone
- (252) 677-5100
- Fax
- (252) 677-5110
- NPI assigned
- Jan 13, 2016
- 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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | |||
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
1431B Weeksville Rd
Elizabeth City, NC 27909-8431
Mailing address
500 Fairway Dr
Suite 102
Deerfield Beach, FL 33441-1814
Phone (888) 880-9270
Other practice location 1
300 Colonial Center Pkwy
Suite 100N
Roswell, GA 30076-4899
Phone (954) 603-7885
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 |
|---|---|---|---|
| Atlantic Autism Services, Inc. | Current | Accepting new patients |
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.
-
- Behavior Analyst
- Elizabeth City, NC
- NPI 1821552878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646006400000",
"number": "1104282698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 FAIRWAY DR",
"address_2": "SUITE 102",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334411814",
"telephone_number": "888-880-9270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1431B WEEKSVILLE RD",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279098431",
"telephone_number": "252-677-5100",
"fax_number": "252-677-5110"
}
],
"practiceLocations": [
{
"address_1": "300 Colonial Center Pkwy",
"address_2": "Suite 100N",
"address_purpose": "LOCATION",
"city": "Roswell",
"state": "GA",
"postal_code": "300764899",
"country_code": "US",
"telephone_number": "954-603-7885",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALLEN",
"first_name": "ALETHEA",
"middle_name": "MILLER",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-13",
"last_updated": "2022-02-28",
"certification_date": "2021-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabeth City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.