Active NPI
Naomi Billie Andrade
- Behavior Technician
- Jacksonville, NC
National Provider Identifier
1376329409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-23-266702
- Practice address
- 304 Wellington PL
Jacksonville, NC 28546-8341 - Phone
- (910) 333-8050
- NPI assigned
- Sep 5, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-23-266702 | NC | Primary |
Addresses
Primary practice location
304 Wellington PL
Jacksonville, NC 28546-8341
Mailing address
254 Merin Height Rd
Jacksonville, NC 28546-8410
Phone (910) 389-0918
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Jacksonville, NC
- NPI 1790375335
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-23-266702 | NC | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Successful Child ABA Therapy, LLC | Past | Accepting new patients |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693872000000",
"number": "1376329409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "254 MERIN HEIGHT RD",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285468410",
"telephone_number": "910-389-0918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 WELLINGTON PL",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285468341",
"telephone_number": "910-333-8050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRADE",
"first_name": "NAOMI",
"middle_name": "BILLIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-05",
"last_updated": "2023-09-05",
"certification_date": "2023-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NC",
"license": "RBT-23-266702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.