MEDICARE: JAMES SCOTT DYKES BCBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1306224282
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES SCOTT DYKES BCBA

Provider Business Mailing Address
First Line	:	3851 DUNHAGAN RD STE 102
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27858-6640
Country	:	US
Telephone Number	:	252-751-0518
Fax Number	:

Provider Business Practice Location Address
First Line	:	8801 J M KEYNES DR STE 325
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-8613
Country	:	US
Telephone Number	:	980-349-7745
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2015
Last Update Date	:	04/22/2026

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