Active NPI
ABA Endeavor NC LLC
- Behavior Analyst
- Charlotte, NC
National Provider Identifier
1306621743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- ABA ENDEAVOR NC LLC
- Practice address
- 537 W Sugar Creek Rd Ste 202
Charlotte, NC 28213-6102 - Phone
- (704) 385-7272
- NPI assigned
- Aug 24, 2023
- Last updated
- Aug 25, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Judah Kanowitz
- Title
- Managing Partner
- Phone
- (917) 275-5134
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
537 W Sugar Creek Rd Ste 202
Charlotte, NC 28213-6102
Mailing address
7257 N Lincoln Ave
Lincolnwood, IL 60712-1810
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692921600000",
"number": "1306621743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7257 N LINCOLN AVE",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607121810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "537 W SUGAR CREEK RD STE 202",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282136102",
"telephone_number": "704-385-7272"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABA ENDEAVOR NC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-24",
"last_updated": "2023-08-25",
"certification_date": "2023-08-25",
"status": "A",
"authorized_official_last_name": "KANOWITZ",
"authorized_official_first_name": "JUDAH",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "917-275-5134"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"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 Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.