Active NPI
Saniah Dionne Durham
- Behavior Technician
- Winston Salem, NC
National Provider Identifier
1538040068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 25-2965-1012286
- Practice address
- 210 Charlois Blvd
Winston Salem, NC 27103-1508 - Phone
- (704) 440-3580
- NPI assigned
- Sep 10, 2025
- 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 | 25-2965-1012286 | NC | Primary |
Addresses
Primary practice location
210 Charlois Blvd
Winston Salem, NC 27103-1508
Mailing address
128 Stanback LN
Rockingham, NC 28379-8030
Phone (910) 461-7959
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 |
|---|---|---|---|
| 25-2965-1012286 | NC | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757462400000",
"number": "1538040068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 STANBACK LN",
"city": "ROCKINGHAM",
"state": "NC",
"postal_code": "283798030",
"telephone_number": "910-461-7959",
"fax_number": "910-461-7959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 CHARLOIS BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271031508",
"telephone_number": "704-440-3580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURHAM",
"first_name": "SANIAH",
"middle_name": "DIONNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-10",
"last_updated": "2025-09-10",
"certification_date": "2025-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NC",
"license": "25-2965-1012286",
"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 Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.