Individual provider Active NPI

Austin C Tanner, BT

  • Behavior Technician
  • Gastonia, NC
National Provider Identifier
1922614080
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
916 Cox Rd Ste 201
Gastonia, NC 28054-3496
Phone
(704) 780-4271
Fax
(704) 788-2016
NPI assigned
Sep 23, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

916 Cox Rd Ste 201
Gastonia, NC 28054-3496

Mailing address

222 Briar Creek Rd
Gastonia, NC 28056-8905
Phone (912) 224-1210

Other practice location 1

222 Briar Creek Rd
Gastonia, NC 28056-8905
Phone (912) 224-1210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Theology

Practice roles

OrganizationSpecialtyStatusNew patients
Abs Utah, P.C. PastSince Sep 27, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1922614080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 BRIAR CREEK RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280568905",
            "telephone_number": "912-224-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 COX RD STE 201",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543496",
            "telephone_number": "704-780-4271",
            "fax_number": "704-788-2016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 Briar Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280568905",
            "country_code": "US",
            "telephone_number": "912-224-1210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANNER",
        "first_name": "AUSTIN",
        "middle_name": "C",
        "credential": "BT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.