Gregg Proctor IV

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

956 W Chatham St
Cary, NC 27511-3169

Phone

(919) 234-1546

NPI assigned

Feb 17, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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 Cardinal Center for Behavior Analysis

  • Behavior Analyst
  • Cary, NC
  • NPI 1235650698
  NPD

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1316692452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "956 W CHATHAM ST",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275113169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "956 W CHATHAM ST",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275113169",
            "telephone_number": "919-234-1546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCTOR",
        "first_name": "GREGG",
        "name_suffix": "IV",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Private Diagnostic Clinic, PLLC
• Carlos Jammar Privette, DDS
• Kasey Privette
• Zynaijae Privette
• Jody Probert, M.S.W., L.C.S.W.
• Professional Audiology Group, LLC
• Propmed Bioscreen Solutions
• Prosper Physical Therapy Specialists, LLC
• Laura Starr Proudfoot
• Michelle R Proulx, LMFT

• Behavior Technician in Cary, NC
• Providers in Cary, NC by specialty
• Behavior Technician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.