NPIMap

Organization Active NPI

Lukes ABA

  • Behavior Technician
  • Zebulon, NC
National Provider Identifier
1306461439
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Legal business name
LUKES ABA
Practice address
525 Willow Breeze CT
Zebulon, NC 27597-9703
Phone
(609) 414-9736
Fax
(919) 375-5044
NPI assigned
Jun 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Authorized official

Name
Ms. Marquita Randolph-BreedenNPI 1811426109
Title
Qasp-S / Registered Behavior Tech
Phone
(609) 414-9736

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 106E00000X
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X Primary

Addresses

Primary practice location

525 Willow Breeze CT
Zebulon, NC 27597-9703

Mailing address

525 Willow Breeze CT
Zebulon, NC 27597-9703
Phone (609) 414-9736

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592179200000",
    "number": "1306461439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 WILLOW BREEZE CT",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "275979703",
            "telephone_number": "609-414-9736",
            "fax_number": "919-375-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 WILLOW BREEZE CT",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "275979703",
            "telephone_number": "609-414-9736",
            "fax_number": "919-375-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUKES ABA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH-BREEDEN",
        "authorized_official_first_name": "MARQUITA",
        "authorized_official_title_or_position": "QASP-S / REGISTERED BEHAVIOR TECH",
        "authorized_official_telephone_number": "609-414-9736",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zebulon, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.