Active NPI
Cynthia M Carroll, ITFS, M.ED
- Behavior Analyst
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 17605
- Practice address
- 1708A Owen Dr
Fayetteville, NC 28304-3419 - Phone
- (910) 425-6282
- Fax
- (910) 425-6554
- NPI assigned
- Mar 19, 2010
- Last updated
- Jun 18, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 17605 | NC | Primary |
| Developmental Therapist | 222Q00000X | 8300047K | NC |
Addresses
Primary practice location
1708A Owen Dr
Fayetteville, NC 28304-3419
Mailing address
1708A Owen Dr
Fayetteville, NC 28304-3419
Phone (910) 425-6282
Other practice location 1
1184 Fayetteville Rd
Raeford, NC 28376-2536
Phone (910) 527-5999
Other practice location 2
2722 Fort Bragg Rd
Fayetteville, NC 28303-4721
Phone (910) 425-6282
Other practice location 3
310A Bratton Dr
Garner, NC 27529-7827
Phone (910) 527-5999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8300047K | NC | MD | Developmental Therapist |
| 17605 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Early Intervention Services, LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Fayetteville, NC
- NPI 1760375182
-
- Community/Behavioral Health Agency
- Fayetteville, NC
- NPI 1295628618
-
- Community/Behavioral Health Agency
- Garner, NC
- NPI 1184455412
-
- Multi-Specialty Clinic/Center
- Fayetteville, NC
- NPI 1285775866
-
- Behavior Analyst
- Raeford, NC
- NPI 1295679561
-
- Multi-Specialty Clinic/Center
- Fayetteville, NC
- NPI 1629151832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750204800000",
"number": "1346564309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1708A OWEN DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043419",
"telephone_number": "910-425-6282",
"fax_number": "910-425-6554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1708A OWEN DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043419",
"telephone_number": "910-425-6282",
"fax_number": "910-425-6554"
}
],
"practiceLocations": [
{
"address_1": "1184 Fayetteville Rd",
"address_purpose": "LOCATION",
"city": "Raeford",
"state": "NC",
"postal_code": "283762536",
"country_code": "US",
"telephone_number": "910-527-5999",
"fax_number": "910-425-6554",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2722 Fort Bragg Rd",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283034721",
"country_code": "US",
"telephone_number": "910-425-6282",
"fax_number": "910-425-6554",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "310A Bratton Dr",
"address_purpose": "LOCATION",
"city": "Garner",
"state": "NC",
"postal_code": "275297827",
"country_code": "US",
"telephone_number": "910-527-5999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARROLL",
"first_name": "CYNTHIA",
"middle_name": "M",
"credential": "ITFS, M.ED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-19",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": "17605",
"primary": true
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "NC",
"license": "8300047K",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.