Active NPI
Kadijah A Lilley
- Behavior Technician
- Greensboro, NC
National Provider Identifier
1225860224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-24-337143
- Practice address
- 1118 Grecade St
Greensboro, NC 27408-8725 - Phone
- (252) 751-0518
- NPI assigned
- Aug 17, 2024
- Reactivated
- Nov 6, 2024
- 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 Technician | 106S00000X | RBT-24-337143 | NC | Primary |
Addresses
Primary practice location
1118 Grecade St
Greensboro, NC 27408-8725
Mailing address
3851 Dunhagan Rd Ste 102
Greenville, NC 27858-6640
Phone (252) 751-0518
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 |
|---|---|---|---|
| RBT-24-337143 | NC | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Framework NC LLC | Behavior Technician | Past | 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": "1723852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730851200000",
"number": "1225860224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3851 DUNHAGAN RD STE 102",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278586640",
"telephone_number": "252-751-0518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1118 GRECADE ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274088725",
"telephone_number": "252-751-0518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILLEY",
"first_name": "KADIJAH",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-17",
"last_updated": "2024-11-06",
"certification_date": "2024-08-17",
"deactivation_date": "2024-10-23",
"reactivation_date": "2024-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NC",
"license": "RBT-24-337143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.