Sunrise ABA of North Carolina LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SUNRISE ABA OF NORTH CAROLINA LLC

Practice address

125 Remount Rd Ste 2075
Charlotte, NC 28203-6458

Phone

(628) 250-7500

NPI assigned

Aug 15, 2022

Last updated

Aug 15, 2022By 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

Brady Keith

Title

Director of Operations

Phone

(628) 250-7500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1699403840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 SAN MARIN DR STE 100B",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949451309",
            "telephone_number": "628-250-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 REMOUNT RD STE 2075",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282036458",
            "telephone_number": "628-250-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE ABA OF NORTH CAROLINA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "BRADY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "628-250-7500"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunflower Speech & Myo Therapy, PLLC
• Sunflower Therapeutic Solutions, PLLC
• Maxim Sungurov
• Samhita Sunkara
• Sunpath LLC
• Sunrise Adult and Youth Services Inc
• Sunrise Eastover Assisted Living, LLC (Sunrise Senior Living of Eastover)
• Sunrise Family Intervention Center, Inc.
• Sunrise Speech and Feeding Therapy, Inc.
• Sunshine Transportation Services LLC

• Behavior Analyst in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.