Active NPI
Keundra Ballentine
- Behavior Technician
- Charlotte, NC
National Provider Identifier
1225974348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 26-522980
- Practice address
- 335 Archdale Dr
Charlotte, NC 28217-4212 - Phone
- (888) 392-8642
- NPI assigned
- Apr 29, 2026
- Sex
- Female
- Sole proprietor
- No
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 | 26-522980 | Primary |
Addresses
Primary practice location
335 Archdale Dr
Charlotte, NC 28217-4212
Mailing address
6425 Dupont Dr Apt 2E
Charlotte, NC 28217-2283
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777420800000",
"number": "1225974348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6425 DUPONT DR APT 2E",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282172283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 ARCHDALE DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282174212",
"telephone_number": "888-392-8642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLENTINE",
"first_name": "KEUNDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-29",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": "26-522980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.