Individual provider Active NPI

Gabrielle Noil, RBT

  • Behavior Technician
  • North Charleston, SC
National Provider Identifier
1114690179
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-21-155805 Issued in SC
Practice address
2810 Ashley Phosphate Rd Ste B11
North Charleston, SC 29418-6406
Phone
(843) 813-1538
NPI assigned
Jul 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-21-155805 SC Primary

Addresses

Primary practice location

2810 Ashley Phosphate Rd Ste B11
North Charleston, SC 29418-6406

Mailing address

2810 Ashley Phosphate Rd Ste B11
North Charleston, SC 29418-6406
Phone (843) 813-1538

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

State licenses

LicenseStateTypeSpecialty
RBT-21-155805SCMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Crescent Child Development Services, LLC PastSince Aug 1, 2021 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.

NPI Registry JSON

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1114690179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 ASHLEY PHOSPHATE RD STE B11",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294186406",
            "telephone_number": "843-813-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 ASHLEY PHOSPHATE RD STE B11",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294186406",
            "telephone_number": "843-813-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOIL",
        "first_name": "GABRIELLE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "SC",
            "license": "RBT-21-155805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.