Active NPI
Joshua Tyler Keller
- Behavior Technician
- Mooresboro, NC
National Provider Identifier
1124914775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB1185642
- Practice address
- 2146 Camp Creek Church Rd
Mooresboro, NC 28114-9719 - Phone
- (910) 333-2919
- NPI assigned
- Jun 17, 2025
- Sex
- Male
- 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 Technician | 106S00000X | BACB1185642 | NC | Primary |
Addresses
Primary practice location
2146 Camp Creek Church Rd
Mooresboro, NC 28114-9719
Mailing address
2146 Camp Creek Church Rd
Mooresboro, NC 28114-9719
Phone (910) 333-2919
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
| License | State | Type | Specialty |
|---|---|---|---|
| BACB1185642 | NC | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon of Hope ABA LLC | Behavior Technician | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750118400000",
"number": "1124914775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2146 CAMP CREEK CHURCH RD",
"city": "MOORESBORO",
"state": "NC",
"postal_code": "281149719",
"telephone_number": "910-333-2919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2146 CAMP CREEK CHURCH RD",
"city": "MOORESBORO",
"state": "NC",
"postal_code": "281149719",
"telephone_number": "910-333-2919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "JOSHUA",
"middle_name": "TYLER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-06-17",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NC",
"license": "BACB1185642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mooresboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.