Makayla Adams

Individual provider Active NPI Behavior Technician · Charlotte, NC

NPI 1972064756 · NPPES record last updated Sep 4, 2020

Key facts

NPI
1972064756
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
10926 S Tryon St Ste E
Charlotte, NC 28273-4154
Phone
(855) 201-5498
NPI assigned
Mar 26, 2019
Sex
Female
Sole proprietor
No

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Behavioral Group, PLLC Past
since Sep 6, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

10926 S Tryon St Ste E
Charlotte, NC 28273-4154

Mailing address

10926 S Tryon St Ste E
Charlotte, NC 28273-4154
Phone (855) 201-5498

Other providers in Charlotte, NC

All providers in Charlotte, NC · Behavior Technician in North Carolina

Sources for this page

Verify at the official NPI Registry.