Active NPI
Anna Ferdkoff
- Behavior Technician
- Winston Salem, NC
National Provider Identifier
1386575348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- F632-0450-5715
- Practice address
- 905 Friedberg Church Rd
Winston Salem, NC 27127-9803 - Phone
- (336) 251-1180
- NPI assigned
- May 28, 2026
- 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 | F632-0450-5715 | IL | Primary |
Addresses
Primary practice location
905 Friedberg Church Rd
Winston Salem, NC 27127-9803
Mailing address
651 Greenwood Rd
Northbrook, IL 60062-2626
Phone (847) 262-1111
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 |
|---|---|---|---|
| F632-0450-5715 | IL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abc of NC Child Development Center | Past | Accepting new patients |
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.
-
- Early Intervention Provider Agency
- Winston Salem, NC
- NPI 1922277417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1386575348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "651 GREENWOOD RD",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622626",
"telephone_number": "847-262-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 FRIEDBERG CHURCH RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271279803",
"telephone_number": "336-251-1180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERDKOFF",
"first_name": "ANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-28",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IL",
"license": "F632-0450-5715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.