Individual provider Active NPI

Kameron Rickard

  • Behavior Analyst
  • Charlotte, NC
National Provider Identifier
1619510195
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-24-71737 Issued in NC
Practice address
10502 Park Rd Ste 150
Charlotte, NC 28210-8490
Phone
(336) 560-7878
NPI assigned
Oct 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-19-98724 NC
Behavior Analyst 103K00000X 1-24-71737 NC Primary

Addresses

Primary practice location

10502 Park Rd Ste 150
Charlotte, NC 28210-8490

Mailing address

8311 Brier Creek Pkwy Ste 105-501
Raleigh, NC 27617-7328
Phone (336) 560-7878

Other practice location 1

8311 Brier Creek Pkwy Ste 105-501
Raleigh, NC 27617-7328
Phone (336) 560-7878

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

LicenseStateTypeSpecialty
RBT-19-98724NCMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1619510195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8311 BRIER CREEK PKWY STE 105-501",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276177328",
            "telephone_number": "336-560-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10502 PARK RD STE 150",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108490",
            "telephone_number": "336-560-7878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8311 Brier Creek Pkwy Ste 105-501",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276177328",
            "country_code": "US",
            "telephone_number": "336-560-7878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICKARD",
        "first_name": "KAMERON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NC",
            "license": "RBT-19-98724",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1-24-71737",
            "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 Mar 25, 2024; 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.