NPIMap

Organization Active NPI

The Carolina Center for ABA and Autism Treatment

  • Behavior Analyst
  • Charlotte, NC
National Provider Identifier
1588068977
Registry record updated Oct 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0-08-2647 Issued in NC
Legal business name
THE CAROLINA CENTER FOR ABA AND AUTISM TREATMENT
Practice address
9305 Monroe Rd Ste L
Charlotte, NC 28270-1490
Phone
(980) 819-0010
NPI assigned
Oct 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2014

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

Authorized official

Name
Denise Freeman Decandia
Title
Owner/Executive Director
Phone
(919) 371-2848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 0-08-2647 NC Primary

Addresses

Primary practice location

9305 Monroe Rd Ste L
Charlotte, NC 28270-1490

Mailing address

9305 Monroe Rd Ste L
Charlotte, NC 28270-1490
Phone (980) 819-0010

National Provider Directory

National Provider Directory
Tax ID family
Carolina Center for ABA and Autism Treatment3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9305 Monroe Rd
Ste L
Charlotte, NC 28270
Phone (919) 230-7790

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1588068977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9305 MONROE RD STE L",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282701490",
            "telephone_number": "980-819-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 MONROE RD STE L",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282701490",
            "telephone_number": "980-819-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CAROLINA CENTER FOR ABA AND AUTISM TREATMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "FREEMAN DECANDIA",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OWNER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-371-2848"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "0-08-2647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.