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LIFESPAN ABA INC. NPI 1790129740


NPI Information

NPI: 1790129740
Provider Name: LIFESPAN ABA INC.

Other Name: LIFESPAN BEHAVIORAL & CONSULTATION SERVICES

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
351 WAGONER DRIVE
SUITE 350
FAYETTEVILLE, NC
ZIP 28303
Phone: (910) 493-3999
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LIFESPAN ABA INC. is a community behavioral health in Fayetteville, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. LIFESPAN ABA INC. NPI is 1790129740. The provider is registered as an organization entity type.
The provider Other Name Is Lifespan Behavioral & Consultation Services.

The provider's business location address is:

351 WAGONER DRIVE
SUITE 350
FAYETTEVILLE, NC
ZIP 28303
Phone: (910) 493-3999
Fax: (910) 728-4644

The provider's authorized official is Sharonda Ferguson .
The authorized official title is Bcba/clinical Director and has the following contact phone number (910) 493-3999.

The enumeration date for this NPI number is 4/22/2013 and was last updated on 4/7/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health1-12-12589NORTH CAROLINANo
2251S00000XCommunity/Behavioral Health1-12-12589Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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