Active NPI
Emily Phaup, MA, BCBA
- Behavior Analyst
- Cary, NC
National Provider Identifier
1154043644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-22-61231
- Practice address
- 111 Mackenan Dr
Cary, NC 27511-7903 - Phone
- (919) 371-2848
- NPI assigned
- Sep 13, 2022
- 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 | 1-22-61231 | AL | Primary |
Addresses
Primary practice location
111 Mackenan Dr
Cary, NC 27511-7903
Mailing address
3665 Laurel Bluff Cir
High Point, NC 27265-9397
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
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Carolina Center for ABA & Autism Treatment | Past | Accepting new patients | |
| Carolina Center for Autism Services, LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Behavior Analyst
- Durham, NC
- NPI 1912069303
-
- Community/Behavioral Health Agency
- Cary, NC
- NPI 1184027252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1154043644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3665 LAUREL BLUFF CIR",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272659397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 MACKENAN DR",
"city": "CARY",
"state": "NC",
"postal_code": "275117903",
"telephone_number": "919-371-2848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAUP",
"first_name": "EMILY",
"credential": "MA, BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-13",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "AL",
"license": "1-22-61231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.