Organization Active NPI

Divine Step ABA NC LLC

  • Behavior Analyst
  • Charlotte, NC
National Provider Identifier
1275484511
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
DIVINE STEP ABA NC LLC
Practice address
525 N Tryon St
Charlotte, NC 28202-0202
Phone
(410) 220-0768
NPI assigned
Feb 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Authorized official

Name
Mindy Spitz
Title
Manager
Phone
(410) 220-0768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

525 N Tryon St
Charlotte, NC 28202-0202

Mailing address

2 Shenandoah Dr
Lakewood, NJ 08701-4978

National Provider Directory

National Provider Directory

Locations

525 N Tryon St
Charlotte, NC 28202
Phone (919) 407-1855

NPI Registry JSON

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

{
    "created_epoch": "1770163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1275484511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SHENANDOAH DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N TRYON ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282020202",
            "telephone_number": "410-220-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE STEP ABA NC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-04",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "SPITZ",
        "authorized_official_first_name": "MINDY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "410-220-0768"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "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 Mar 16, 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.

Verify at the official NPI Registry.