Active NPI
Eagle Care ABA
- Behavior Analyst
- Charlotte, NC
National Provider Identifier
1790578409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- EAGLE CARE ABA
- Practice address
- 10130 Mallard Creek Rd Ste 300
Charlotte, NC 28262-6001 - Phone
- (704) 908-2500
- NPI assigned
- May 26, 2025
- Last updated
- May 28, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nachum Ribiat
- Title
- Member
- Phone
- (908) 670-0558
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NU | Primary |
Addresses
Primary practice location
10130 Mallard Creek Rd Ste 300
Charlotte, NC 28262-6001
Mailing address
148 Glen Ave
Lakewood, NJ 08701-3061
Phone (908) 670-0558
Other practice location 1
1200 Gordon Duckworth Dr
Piggott, AR 72454-1916
Phone (704) 908-2500
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Lakewood, NJ
- NPI 1467278697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748390400000",
"number": "1790578409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 GLEN AVE",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087013061",
"telephone_number": "908-670-0558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10130 MALLARD CREEK RD STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282626001",
"telephone_number": "704-908-2500"
}
],
"practiceLocations": [
{
"address_1": "1200 Gordon Duckworth Dr",
"address_purpose": "LOCATION",
"city": "Piggott",
"state": "AR",
"postal_code": "724541916",
"country_code": "US",
"telephone_number": "704-908-2500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "EAGLE CARE ABA",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-26",
"last_updated": "2025-05-28",
"certification_date": "2025-05-28",
"status": "A",
"authorized_official_last_name": "RIBIAT",
"authorized_official_first_name": "NACHUM",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "908-670-0558"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"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 May 28, 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.