Lisa Booth
Individual provider Active NPI Behavior Technician · Cameron, NC
NPI 1548027675 · NPPES record last updated Mar 5, 2024
Key facts
- NPI
- 1548027675
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-23-274815 (NC)
- Practice address
- 185 Mittie Haddock Dr
Cameron, NC 28326-9379 - Phone
- (910) 500-7783
- NPI assigned
- Mar 5, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-23-274815 | NC | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Autism Center | Behavior Technician | Current |
Accepting new patients |
Locations
185 Mittie Haddock Dr
Cameron, NC 28326
Phone (910) 500-7783
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-23-274815 | NC | Yes |
Addresses
Primary practice location
185 Mittie Haddock Dr
Cameron, NC 28326-9379
Mailing address
185 Mittie Haddock Dr
Cameron, NC 28326-9379
Phone (910) 500-7783
Other providers in Cameron, NC
- Hannah Ellen Bates
- Radwa Samy Behairy
- Katherine Bender
- Bio-Medical Applications of North Carolina, Inc.
- Kamryn Blakely
- Mischelle Mariano Boughton
- Justin P Bowdish
- Patricia Danielle Brenner
- Britt'S Performance Nutrition
- Nick Brommer
All providers in Cameron, NC · Behavior Technician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.