Organization Active NPI

North Carolina Early Intervention, LLC

  • Behavior Analyst
  • Mocksville, NC
National Provider Identifier
1124899935
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
NORTH CAROLINA EARLY INTERVENTION, LLC
Practice address
1864 Junction Rd
Mocksville, NC 27028-5331
Phone
(336) 909-7243
NPI assigned
Jan 10, 2024
Last updated
Jan 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Authorized official

Name
Kelsie Jean Hoilien, MS, BCBA, LBANPI 1861900987
Title
Owner, Behavior Analyst
Phone
(336) 909-7243

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

1864 Junction Rd
Mocksville, NC 27028-5331

Mailing address

1864 Junction Rd
Mocksville, NC 27028-5331
Phone (336) 909-7243

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1124899935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1864 JUNCTION RD",
            "city": "MOCKSVILLE",
            "state": "NC",
            "postal_code": "270285331",
            "telephone_number": "336-909-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1864 JUNCTION RD",
            "city": "MOCKSVILLE",
            "state": "NC",
            "postal_code": "270285331",
            "telephone_number": "336-909-7243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CAROLINA EARLY INTERVENTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "HOILIEN",
        "authorized_official_first_name": "KELSIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER, BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "336-909-7243",
        "authorized_official_credential": "MS, BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mocksville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.