Individual provider Active NPI

Amelia Smith

  • Behavior Analyst
  • Charlotte, NC
National Provider Identifier
1366072720
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
1401 E 7TH St
Charlotte, NC 28204-6300
Phone
(704) 780-4271
NPI assigned
Jan 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X NC Primary

Addresses

Primary practice location

1401 E 7TH St
Charlotte, NC 28204-6300

Mailing address

1420 Abbey PL Apt 415
Charlotte, NC 28209-3073
Phone (845) 741-2283

Other practice location 1

1420 Abbey Pl Apt 415
Charlotte, NC 28209-3073
Phone (845) 741-2283

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL 8457412283 Direct
CONNECT URL 8457412283

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": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1366072720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 ABBEY PL APT 415",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093073",
            "telephone_number": "845-741-2283"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1420 Abbey Pl Apt 415",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282093073",
            "country_code": "US",
            "telephone_number": "845-741-2283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMELIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-24",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "8457412283",
            "affiliation": "N",
            "endpointDescription": "phone number",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1420 Abbey Pl Apt 415",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282093073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "8457412283",
            "affiliation": "N",
            "endpointDescription": "Phone number",
            "address_1": "1420 Abbey Pl Apt 415",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282093073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 6, 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.

Verify at the official NPI Registry.