Ftei Holding Company, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

FTEI HOLDING COMPANY, LLC

Doing business as

Ft BHWC, LLC

Practice address

9130 University City
Charlotte, NC 28213

Phone

(512) 694-7848

NPI assigned

Mar 9, 2022

Last updated

Mar 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael John Poolos

Title

Cfo

Phone

(512) 694-7848

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• FT BHWC, LLC Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1912654872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 197601",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372197601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9130 UNIVERSITY CITY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28213",
            "telephone_number": "512-694-7848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FTEI HOLDING COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "POOLOS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "512-694-7848"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABA",
            "identifier": "105253335",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mpoolos@felderdouglas.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "9130 University City",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "FT BHWC, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Ann Fry, RN
• Karen Frye, PHARMD, BCACP
• Lakisha Elena Frye, NP
• Michael Frye, MD
• Sherri Miller Frye, SLP
• Fuel 4 Life
• Haydee Yareli Fuerte-Guerrero
• Drew Fukes, CRNA
• Elana Fulcher, RDN, LDN
• Kaye Palmer Fulcher, MSW, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.