Healthcare Provider Details

I. General information

NPI: 1790454676
Provider Name (Legal Business Name): ARI MICHAEL KAGAN BCBA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2021
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1594 HENDERSONVILLE RD
ASHEVILLE NC
28803-3136
US

IV. Provider business mailing address

101 S TRYON ST STE 2700-126
CHARLOTTE NC
28280-0002
US

V. Phone/Fax

Practice location:
  • Phone: 239-220-5566
  • Fax:
Mailing address:
  • Phone: 239-220-5566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number2646
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: