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ELITE ADOLESCENT CARE INC. NPI 1508290420


NPI Information

NPI: 1508290420
Provider Name: ELITE ADOLESCENT CARE, INC.
Classification: Behavior Analyst - 103K00000X
Entity Type: Organization
Address:
111 LAMON ST
103
FAYETTEVILLE, NC
ZIP 28301
Phone: (910) 483-0324
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ELITE ADOLESCENT CARE, INC. is a behavior analyst in Fayetteville, 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. ELITE ADOLESCENT CARE, INC. NPI is 1508290420. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

111 LAMON ST
103
FAYETTEVILLE, NC
ZIP 28301-901
Phone: (910) 483-0324

The provider's authorized official is Barsheem Chapman .
The authorized official title is President and has the following contact phone number (910) 483-0324.

The enumeration date for this NPI number is 8/27/2013 and was last updated on 8/27/2013.


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
1101Y00000XCounselorNo
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3101YM0800XCounselorMental HealthNo
4101YP2500XCounselorProfessionalNo
5101YS0200XCounselorSchoolNo
6102L00000XPsychoanalystNo
7103T00000XPsychologistNo
8103TA0400XPsychologistAddiction (Substance Use Disorder)No
9103TA0700XPsychologistAdult Development & AgingNo
10103TB0200XPsychologistCognitive & BehavioralNo
11103TC0700XPsychologistClinicalNo
12103TC2200XPsychologistClinical Child & AdolescentNo
13103TP0016XPsychologistPrescribing (Medical)No
14106H00000XMarriage & Family TherapistNo
15103K00000XBehavior 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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.