Active NPI
Antonio Terrill Scott
- Behavior Analyst
- Chadbourn, NC
National Provider Identifier
1356719694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 216 Walls Lane
Chadbourn, NC 28431 - Phone
- (910) 207-2422
- NPI assigned
- Sep 3, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NC | Primary |
Addresses
Primary practice location
216 Walls Lane
Chadbourn, NC 28431
Mailing address
216 Walls LN
Chadbourn, NC 28431-8517
Phone (910) 207-2422
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441238400000",
"number": "1356719694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 WALLS LN",
"city": "CHADBOURN",
"state": "NC",
"postal_code": "284318517",
"telephone_number": "910-207-2422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 WALLS LANE",
"city": "CHADBOURN",
"state": "NC",
"postal_code": "28431",
"telephone_number": "910-207-2422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "ANTONIO",
"middle_name": "TERRILL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-03",
"last_updated": "2015-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chadbourn, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.