Mythili Revathi Lokeshwaran

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

A1106 Issued in NC

Practice address

2329 E WT Harris Blvd
Charlotte, NC 28213

Phone

(704) 529-9090

NPI assigned

Aug 13, 2020

Last updated

Jul 31, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1811508880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 CUMBERLAND CT SW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280255823",
            "telephone_number": "910-600-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2329 E WT HARRIS BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28213",
            "telephone_number": "704-529-9090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1018 N Bragg Blvd",
            "address_purpose": "LOCATION",
            "city": "Spring Lake",
            "state": "NC",
            "postal_code": "283903316",
            "country_code": "US",
            "telephone_number": "910-295-2609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOKESHWARAN",
        "first_name": "MYTHILI",
        "middle_name": "REVATHI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NC",
            "license": "A1106",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Logston, PHARMD
• Verachai Lohavichan, M.D.
• Alicia Jean Lohse, PA
• Joseph Charles Loibissio, MD
• Molli Rene Dutt Loiselle, OT
• Shalita R Lokhnath, PHARM.D
• Elijah Zachariah Lomax, RBT
• Robert Lombard
• Deborah Weathers Lombardi, PMHCNS, BC
• Vincent Alan Lombardi, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.