Active NPI
Tabitha Howell
- Behavior Technician
- Huntersville, NC
National Provider Identifier
1609417864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-19-100048
- Practice address
- 9800 Kincey Ave Ste 160
Huntersville, NC 28078-8402 - Phone
- (980) 785-1113
- Fax
- (980) 785-1114
- NPI assigned
- Sep 30, 2019
- 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 | RBT-19-100048 | NC | Primary |
Addresses
Primary practice location
9800 Kincey Ave Ste 160
Huntersville, NC 28078-8402
Mailing address
814 Tyvola Rd Ste 126
Charlotte, NC 28217-3539
Phone (980) 785-1113
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 |
|---|---|---|---|
| RBT-19-100048 | NC | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mosaic Group, LLC | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569801600000",
"number": "1609417864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "814 TYVOLA RD STE 126",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282173539",
"telephone_number": "980-785-1113",
"fax_number": "980-785-1114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9800 KINCEY AVE STE 160",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280788402",
"telephone_number": "980-785-1113",
"fax_number": "980-785-1114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWELL",
"first_name": "TABITHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-30",
"last_updated": "2019-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NC",
"license": "RBT-19-100048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.