Active NPI
Djuliet Thorn
- Behavior Analyst
- Charlotte, NC
National Provider Identifier
1982140174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-22-59841
- Practice address
- 5525 Albemarle Rd
Charlotte, NC 28212-3610 - Phone
- (786) 422-3986
- NPI assigned
- Jan 11, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-22-59841 | NC | Primary |
| Developmental Therapist | 222Q00000X |
Addresses
Primary practice location
5525 Albemarle Rd
Charlotte, NC 28212-3610
Mailing address
9634 Wardley Dr
Charlotte, NC 28215-8806
Phone (786) 422-3986
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1982140174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9634 WARDLEY DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282158806",
"telephone_number": "786-422-3986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5525 ALBEMARLE RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282123610",
"telephone_number": "786-422-3986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORN",
"first_name": "DJULIET",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-11",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": "1-22-59841",
"primary": true
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.