Active NPI
Maegan Matthews Deflorin
- Behavior Technician
- Cary, NC
National Provider Identifier
1386169092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 17-33788
- Practice address
- 111 Mackenan Dr
Cary, NC 27511-7903 - Phone
- (919) 371-2848
- NPI assigned
- Aug 3, 2017
- Sex
- Female
- 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 Technician | 106S00000X | 17-33788 | NC | Primary |
Addresses
Primary practice location
111 Mackenan Dr
Cary, NC 27511-7903
Mailing address
111 Mackenan Dr
Cary, NC 27511-7903
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 |
|---|---|---|---|
| 17-33788 | NC | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Carolina Center for ABA & Autism Treatment | Past | Accepting new patients | |
| Carolina Center for Autism Services, LLC | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 2
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
- Cary, NC
- NPI 1184027252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501718400000",
"number": "1386169092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 MACKENAN DR",
"city": "CARY",
"state": "NC",
"postal_code": "275117903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 MACKENAN DR",
"city": "CARY",
"state": "NC",
"postal_code": "275117903",
"telephone_number": "919-371-2848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEFLORIN",
"first_name": "MAEGAN",
"middle_name": "MATTHEWS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-03",
"last_updated": "2017-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "NC",
"license": "17-33788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.