Autism Centers of North Carolina

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

AUTISM CENTERS OF NORTH CAROLINA

Practice address

10370 Moncreiffe Rd Ste 101
Raleigh, NC 27617-7823

Phone

(984) 789-2433

NPI assigned

Sep 16, 2021

Organization subpart

No

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

Authorized official

Name

Caroline Conn Kelly, BCBA, LBA, CCEPNPI 1245780089

Title

Ceo

Phone

(984) 789-2433

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Caroline Conn Kelly, BCBA

  • Behavior Analyst
  • Apex, NC
  • NPI 1245780089
  NPD Authorized official
• Jesse Riojas

  • Behavior Analyst
  • Raleigh, NC
  • NPI 1215468426
  NPD

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1104596642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10370 MONCREIFFE RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276177823",
            "telephone_number": "704-609-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10370 MONCREIFFE RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276177823",
            "telephone_number": "984-789-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM CENTERS OF NORTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "CONN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "984-789-2433",
        "authorized_official_credential": "BCBA, LBA, CCEP"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "caroline@autismcentersnc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10370 Moncreiffe Rd Ste 101",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276177823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert Austin
• Sierra Austin, RBT
• Valerie Cornella Austin, PA
• Authentisphere Therapy, PLLC
• Authority 2 Heal Counseling LLC
• Autism Services, Incorporated
• Autism Services, Incorporated
• Autism Services, Incorporated
• Autism Services, Incorporated
• Autism Services, Incorporated

• Behavior Analyst in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.