Active NPI
Amber Blakely Cabbil, BCBA
- Behavior Analyst
- Charlotte, NC
National Provider Identifier
1114431830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-19-40342
- Practice address
- 101 N Tryon St Ste 112
Charlotte, NC 28246-0104 - Phone
- (317) 225-5352
- Fax
- (855) 975-2930
- NPI assigned
- Nov 17, 2017
- Reactivated
- Sep 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 1-19-40342 | NC | Primary |
Addresses
Primary practice location
101 N Tryon St Ste 112
Charlotte, NC 28246-0104
Mailing address
1021 Hinson Forest Rd
Monroe, NC 28110-0038
Phone (704) 839-1488
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": "1510876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698278400000",
"number": "1114431830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 HINSON FOREST RD",
"city": "MONROE",
"state": "NC",
"postal_code": "281100038",
"telephone_number": "704-839-1488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 N TRYON ST STE 112",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282460104",
"telephone_number": "317-225-5352",
"fax_number": "855-975-2930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAKELY CABBIL",
"first_name": "AMBER",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-17",
"last_updated": "2023-10-26",
"certification_date": "2021-10-13",
"deactivation_date": "2021-09-07",
"reactivation_date": "2021-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": "1-19-40342",
"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 Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.