NPIMap

Organization Active NPI

Behavioral Consulting for Autism, LLC

  • Behavior Analyst
  • Wilmington, NC
National Provider Identifier
1376910729
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BEHAVIORAL CONSULTING FOR AUTISM, LLC
Practice address
4039 Masonboro Loop Rd
Suite 1-0
Wilmington, NC 28409-3683
Phone
(910) 619-1200
Fax
(910) 395-1777
NPI assigned
Sep 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Authorized official

Name
Catherine Demis Gill
Title
LPC, Bcba
Phone
(910) 619-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

4039 Masonboro Loop Rd
Suite 1-0
Wilmington, NC 28409-3683

Mailing address

4039 Masonboro Loop Rd
Suite 1-0
Wilmington, NC 28409-3683
Phone (910) 619-1200

National Provider Directory

National Provider Directory

Locations

4039 Masonboro Loop Rd
Ste 10
Wilmington, NC 28409
Phone (910) 619-1200

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1376910729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4039 MASONBORO LOOP RD",
            "address_2": "SUITE 1-0",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284093683",
            "telephone_number": "910-619-1200",
            "fax_number": "910-395-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4039 MASONBORO LOOP RD",
            "address_2": "SUITE 1-0",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284093683",
            "telephone_number": "910-619-1200",
            "fax_number": "910-395-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL CONSULTING FOR AUTISM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "DEMIS",
        "authorized_official_title_or_position": "LPC, BCBA",
        "authorized_official_telephone_number": "910-619-1200"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.

Verify at the official NPI Registry.