DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: OCTAVIA N HALL

MEDICARE:   OCTAVIA N HALL
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1962977074
Entity Type Code : Individual
Provider Name (Legal Business Name) : OCTAVIA N HALL
Provider Business Mailing Address
First Line : 7100 WINDING CEDAR TRL APT 208
Second Line :
City : CHARLOTTE
State : NC
Zip : 28212-8107
Country : US
Telephone Number : 864-202-5950
Fax Number :
Provider Business Practice Location Address
First Line : 1401 E 7TH ST STE 100
Second Line :
City : CHARLOTTE
State : NC
Zip : 28204-6301
Country : US
Telephone Number : 704-780-4271
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2018
Last Update Date : 10/05/2018

Similar Medicare Providers

1669967089 — EBONY LASHA BLACKMON
Practice Location Address:
1401 E 7TH ST STE 100
CHARLOTTE, NC
28204-6301
Practice Phone: 704-780-4271
Practice Fax:
1568940898 — TARI MADANE COX M.A.
Practice Location Address:
1401 E 7TH ST STE 100
CHARLOTTE, NC
28204-6301
Practice Phone: 704-728-0433
Practice Fax: 704-335-9918
1356826754 — SARAH HALLOCK
Practice Location Address:
1401 E 7TH ST STE 100
CHARLOTTE, NC
28204-6301
Practice Phone: 704-461-3037
Practice Fax:
1346725744 — ASHLEY ARMSTRONG
Practice Location Address:
1401 E 7TH ST STE 100
CHARLOTTE, NC
28204-6301
Practice Phone: 704-461-3037
Practice Fax:
1114492253 — MALLORY RAE LOEFFLER
Practice Location Address:
1401 E 7TH ST STE 100
CHARLOTTE, NC
28204-6301
Practice Phone: 704-461-3037
Practice Fax:
1114492915 — NEKAYAH STCLAIR
Practice Location Address:
1401 E 7TH ST STE 100
CHARLOTTE, NC
28204-6301
Practice Phone: 704-461-3037
Practice Fax:

Directions to “ OCTAVIA N HALL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.