Carmen Alexia Ackermann
Individual provider Active NPI Behavior Technician · Willow Spring, NC
NPI 1891361077 · NPPES record last updated May 28, 2021
Key facts
- NPI
- 1891361077
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1304 Aspen Falls CT
Willow Spring, NC 27592-7417 - Phone
- (919) 500-3616
- NPI assigned
- May 28, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1304 Aspen Falls CT
Willow Spring, NC 27592-7417
Mailing address
1304 Aspen Falls CT
Willow Spring, NC 27592-7417
Phone (919) 500-3616
Other providers in Willow Spring, NC
- A Safe Haven Wellness & Primary Care
- A Safe Haven Wellness & Primary Care, LLC
- A Safe Haven Wellness & Primary Care, LLC
- Abigail Baker
- Samantha Jean Beverage
- Heather Bittle
- Elizabeth K Broughton
- Alan L Byrd
All providers in Willow Spring, NC · Behavior Technician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.