Healthcare Provider Details

I. General information

NPI: 1235092008
Provider Name (Legal Business Name): CLAIRE ELISE HAWKINS RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

375 MAIN AVE NE
HICKORY NC
28601-5121
US

IV. Provider business mailing address

2728 BETHEL CHURCH RD
PROSPERITY SC
29127-7780
US

V. Phone/Fax

Practice location:
  • Phone: 828-459-6003
  • Fax:
Mailing address:
  • Phone: 803-924-8804
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number1389122
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: