Active NPI
Kwaku Tweneboah
- Behavior Technician
- Charlotte, NC
National Provider Identifier
1760151500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 3000 Latrobe Dr Ste B
Charlotte, NC 28211-5227 - Phone
- (704) 780-4271
- Fax
- (888) 261-6694
- NPI assigned
- Sep 7, 2021
- Sex
- Male
- 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 | NC | Primary |
Addresses
Primary practice location
3000 Latrobe Dr Ste B
Charlotte, NC 28211-5227
Mailing address
2117 Summertime Dr Apt 3410
Charlotte, NC 28262-5621
Phone (803) 371-3273
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630972800000",
"number": "1760151500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2117 SUMMERTIME DR APT 3410",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282625621",
"telephone_number": "803-371-3273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 LATROBE DR STE B",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282115227",
"telephone_number": "704-780-4271",
"fax_number": "888-261-6694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TWENEBOAH",
"first_name": "KWAKU",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-07",
"last_updated": "2021-09-07",
"certification_date": "2021-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NC",
"license": null,
"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 Sep 7, 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.