Active NPI
Act Behavior Center
- Behavior Analyst
- Concord, NC
National Provider Identifier
1881425809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- ACT BEHAVIOR CENTER
- Practice address
- 2464 Susie Brumley PL NW
Concord, NC 28027-3313 - Phone
- (630) 631-9623
- NPI assigned
- Aug 12, 2024
- Last updated
- Aug 12, 2024
- 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
- Mrs. Shaden Kassar
- Title
- Bcba
- Phone
- (630) 631-9623
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NU | Primary |
Addresses
Primary practice location
2464 Susie Brumley PL NW
Concord, NC 28027-3313
Mailing address
2464 Susie Brumley PL NW
Concord, NC 28027-3313
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.
-
- Behavior Analyst
- Burr Ridge, IL
- NPI 1548632383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723420800000",
"number": "1881425809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2464 SUSIE BRUMLEY PL NW",
"city": "CONCORD",
"state": "NC",
"postal_code": "280273313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2464 SUSIE BRUMLEY PL NW",
"city": "CONCORD",
"state": "NC",
"postal_code": "280273313",
"telephone_number": "630-631-9623"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACT BEHAVIOR CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-12",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A",
"authorized_official_last_name": "KASSAR",
"authorized_official_first_name": "SHADEN",
"authorized_official_title_or_position": "BCBA",
"authorized_official_telephone_number": "630-631-9623",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.