PRESTIGE CHILDRENS TRAUMA CHILD DEVELOPMENT CORP NPI 1427764836

NPI Information

  • NPI: 1427764836
  • Provider Name: PRESTIGE CHILDRENS TRAUMA CHILD DEVELOPMENT CORP
  • Classification: Behavior Analyst - 103K00000X
  • Entity Type: Organization
  • Doing Business As: PRESTIGE CHILDRENS TRAUMA CDC
  • Address: 3030 GLEN LAUREL DR
    CONCORD, NC
    ZIP 28025
  • Phone: (980) 219-0907

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NPI Details

PRESTIGE CHILDRENS TRAUMA CHILD DEVELOPMENT CORP is a behavior analyst in Concord, NC. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. PRESTIGE CHILDRENS TRAUMA CHILD DEVELOPMENT CORP NPI is 1427764836. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Prestige Childrens Trauma Cdc.

The provider's business location address is:

3030 GLEN LAUREL DR
CONCORD, NC
ZIP 28025-614
Phone: (980) 219-0907

The provider's authorized official is Wanda Marie Burns .
The authorized official title is Pastoral Counselor and has the following contact phone number (888) 779-1232.

The enumeration date for this NPI number is 1/30/2023 and was last updated on 4/25/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP1600XCounselorPastoralNo
2315P00000XIntermediate Care Facility, Intellectual DisabilitiesNo
3106S00000XBehavior TechnicianNo
4251S00000XCommunity/Behavioral HealthNo
5252Y00000XEarly Intervention Provider AgencyNo
6305S00000XPoint of ServiceNo
7103K00000XBehavior AnalystYes

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: 11/21/2025

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