Individual provider Active NPI

Tracy Lynn Nelson, MS, BCBA

  • Behavior Analyst
  • Huntersville, NC
National Provider Identifier
1467855015
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1795 Issued in NC
Practice address
16409 Northcross Dr
Huntersville, NC 28078-5065
Phone
(980) 441-8200
Fax
(980) 441-8202
NPI assigned
Sep 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 11212016 OK
Behavior Analyst 103K00000X 1301 TN
Behavior Analyst 103K00000X 1-12-12016 FL
Behavior Analyst 103K00000X 1795 NC Primary

Addresses

Primary practice location

16409 Northcross Dr
Huntersville, NC 28078-5065

Mailing address

PO Box 749
Belmont, NC 28012-0749
Phone (704) 869-2088

Other practice location 1

5579 N Tucson Ter
Beverly Hills, FL 34465-2102
Phone (720) 670-9269

Other names 1

  • Tracy Lynn Tupper Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1795NCMDBehavioral Analyst
11212016OKMDBehavioral Analyst
1301TNMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Iris Behavior Services LLC Behavior Analyst CurrentSince Nov 17, 2024 Accepting new patients
Crescent Behavioral Consulting Behavior Analyst Past Accepting new patients
Hopebridge LLC Behavior Analyst Past Accepting new patients
Complete Rehabilitation and Sports Physical Therapy, PC Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1467855015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280120749",
            "telephone_number": "704-869-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16409 NORTHCROSS DR",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785065",
            "telephone_number": "980-441-8200",
            "fax_number": "980-441-8202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5579 N Tucson Ter",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "FL",
            "postal_code": "344652102",
            "country_code": "US",
            "telephone_number": "720-670-9269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "credential": "MS, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-26",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OK",
            "license": "11212016",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "1301",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-12-12016",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "TUPPER",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.

Verify at the official NPI Registry.