NC Behavior Services Education and Treatment

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NC BEHAVIOR SERVICES EDUCATION AND TREATMENT

Practice address

804 W Bank St
Winston Salem, NC 27101-5126

Phone

(336) 416-8266

NPI assigned

Jan 25, 2024

Organization subpart

No

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

Authorized official

Name

Catherine C Debroder, BCBANPI 1063818821

Title

Chief Executive Officer

Phone

(336) 416-8266

Specialties & licenses 2

Addresses

Other names 1

• NC BSET Doing business as

Practitioners 1

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

• Catherine Debroder, BCBA

  • Behavior Analyst
  • Winston Salem, NC
  • NPI 1063818821
  NPD Authorized official

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1306608401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 W BANK ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271015126",
            "telephone_number": "336-416-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 W BANK ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271015126",
            "telephone_number": "336-416-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NC BEHAVIOR SERVICES EDUCATION AND TREATMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "DEBRODER",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "336-416-8266",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NC BSET",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• National Vision, Inc.
• National Vision, Inc.
• Cecile Edith Naylor, PHD
• Lee Ann Naylor, MD
• Michael Bugri Nazor, PHARM D
• NC Corp Ehs, Inc
• NC Corp Ehs, Inc
• NC Homecare Partners LLC
• NC Mobile Anesthesia
• NC School of Arts

• All providers in Winston Salem, NC
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.