Active NPI
Venesa Rose Balis, BCBA
- Behavior Analyst
- Greensboro, NC
National Provider Identifier
1710207477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1165
- Practice address
- 823 N Elm St
Greensboro, NC 27401-1510 - Phone
- (336) 900-1555
- Fax
- (336) 332-2837
- NPI assigned
- Jun 4, 2010
- 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 Analyst | 103K00000X | 1165 | NC | Primary |
Addresses
Primary practice location
823 N Elm St
Greensboro, NC 27401-1510
Mailing address
PO Box 749
Belmont, NC 28012-0749
Phone (704) 869-2088
Other practice location 1
2293 Nc 24-87
Cameron, NC 28326-6687
Phone (910) 500-7783
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 |
|---|---|---|---|
| 1165 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761523200000",
"number": "1710207477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 749",
"city": "BELMONT",
"state": "NC",
"postal_code": "280120749",
"telephone_number": "704-869-2088",
"fax_number": "980-288-4239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "823 N ELM ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011510",
"telephone_number": "336-900-1555",
"fax_number": "336-332-2837"
}
],
"practiceLocations": [
{
"address_1": "2293 Nc 24-87",
"address_purpose": "LOCATION",
"city": "Cameron",
"state": "NC",
"postal_code": "283266687",
"country_code": "US",
"telephone_number": "910-500-7783",
"fax_number": "910-312-3618",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BALIS",
"first_name": "VENESA",
"middle_name": "ROSE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-04",
"last_updated": "2025-10-27",
"certification_date": "2025-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": "1165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.