Tecpark

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

Legal business name

TECPARK

Doing business as

TECpark

Practice address

2241 W Hanford Rd Ste 107
Burlington, NC 27215-7031

Phone

(336) 212-0433

NPI assigned

Oct 21, 2021

Last updated

Oct 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alana A Bennett

Title

Ceo

Phone

(919) 257-9103

Specialties & licenses 4

Addresses

Other names 1

• TECpark Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1609539022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 W HANFORD RD STE 107",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272157031",
            "telephone_number": "336-212-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 W HANFORD RD STE 107",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272157031",
            "telephone_number": "336-212-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TECPARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "ALANA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-257-9103"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.yourtecpark.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2241 W Hanford Rd Ste 107",
            "city": "Burlington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272157031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "TECpark",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anne Miller Taylor, LCMHC, NCC
• Emily J Taylor, LCMHC
• Jennifer Lee Taylor, MS, LPCA
• Linda M Taylor, M.D.
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• Sheikh Ahmed Tejan-Sie, MD
• Krishawn Terrell
• Sarah A Terrell, PA
• The Alamance Academy
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• Child Intellectual and/or Developmental Disabilities Respite Care in Burlington, NC
• Providers in Burlington, NC by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.