Alycia Francesca Taborn, BA

Primary specialty

ContractorTaxonomy code 171W00000X

License

04200866325 Issued in NC

Practice address

3651 Critter TRL
Oxford, NC 27565-5860

Phone

(252) 341-6518

NPI assigned

Sep 7, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Alycia Francesca Carotenuti Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

Practice roles

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.

• The Bridge Consulting Group, LLC

  • Community/Behavioral Health Agency
  • Durham, NC
  • NPI 1942822127

  Behavior Technician

  NPD (past)

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1285410035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 CRITTER TRL",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275655860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 CRITTER TRL",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275655860",
            "telephone_number": "252-341-6518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABORN",
        "first_name": "ALYCIA",
        "middle_name": "FRANCESCA",
        "name_prefix": "Mrs.",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-07",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NC",
            "license": "13825",
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NC",
            "license": "04200866325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYCIA",
            "last_name": "CAROTENUTI",
            "middle_name": "FRANCESCA",
            "credential": "ALYCIA CAROTENUTI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Summit Communities, LLC
• Sunrise Therapy & Support Services
• Sunshine Home Care Services LLC
• Superior Health - Cap Services
• Superior Health Care Services
• Ryan K Takenaga, M.D.
• Jennifer Mayo Tartamella
• Terry Taylor, M.ED. CCC-SLP
• Teach-a-Tot Childcare Center
• Betty Thigpen-Beck

• Contractor in Oxford, NC
• Providers in Oxford, NC by specialty
• Contractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.

Verify at the official NPI Registry.