Active NPI
Caroline Hawks, BCBA
- Behavior Analyst
- Charlotte, NC
National Provider Identifier
1356850374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-19-36056
- Practice address
- 1401 E 7TH St
Charlotte, NC 28204-6300 - Phone
- (704) 780-4271
- Fax
- (888) 261-6694
- NPI assigned
- Sep 21, 2017
- 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 Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 1-19-36056 | FL | Primary |
Addresses
Primary practice location
1401 E 7TH St
Charlotte, NC 28204-6300
Mailing address
901 Lenmore CT
Orlando, FL 32812-1980
Phone (407) 490-5714
Other practice location 1
4024 Lake Underhill Rd Apt C
Orlando, FL 32803
Phone (407) 490-5714
Other practice location 2
901 Lenmore Ct
Orlando, FL 32812-1980
Phone (407) 490-5714
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019711200 | Medicaid | FL |
Other names 1
- Caroline Gray
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": "1505952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569888000000",
"number": "1356850374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 LENMORE CT",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328121980",
"telephone_number": "407-490-5714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 E 7TH ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282046300",
"telephone_number": "704-780-4271",
"fax_number": "888-261-6694"
}
],
"practiceLocations": [
{
"address_1": "4024 Lake Underhill Rd Apt C",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "32803",
"country_code": "US",
"telephone_number": "407-490-5714",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "901 Lenmore Ct",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328121980",
"country_code": "US",
"telephone_number": "407-490-5714",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAWKS",
"first_name": "CAROLINE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-21",
"last_updated": "2019-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-19-36056",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019711200",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CAROLINE",
"last_name": "GRAY",
"code": "1",
"type": "Former Name"
}
]
}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 Oct 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.