Organization Active NPI

Target Management TR

  • Behavior Technician
  • Gadsden, AL
National Provider Identifier
1942820329
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Legal business name
TARGET MANAGEMENT TR
Practice address
201 Wall St
Gadsden, AL 35904-1940
Phone
(917) 684-4470
NPI assigned
Apr 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Authorized official

Name
Ahmose Amexem El
Title
Trustee
Phone
(917) 684-4470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106S00000X Primary

Addresses

Primary practice location

201 Wall St
Gadsden, AL 35904-1940

Mailing address

1530 McConnell Rd
Grayson, GA 30017-1376
Phone (917) 684-4470

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address KCAUDLE@ENRESTORATIONINC.COM Direct

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: kcaudle@enrestorationinc.com

NPI Registry JSON

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

{
    "created_epoch": "1587772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1942820329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 MCCONNELL RD",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300171376",
            "telephone_number": "917-684-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WALL ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359041940",
            "telephone_number": "917-684-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARGET MANAGEMENT TR",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-25",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "EL",
        "authorized_official_first_name": "AHMOSE",
        "authorized_official_middle_name": "AMEXEM",
        "authorized_official_title_or_position": "TRUSTEE",
        "authorized_official_telephone_number": "917-684-4470"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KCAUDLE@ENRESTORATIONINC.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "201 Wall St",
            "city": "Gadsden",
            "state": "AL",
            "country_code": "US",
            "postal_code": "359041940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.