Healthcare Provider Details
I. General information
NPI: 1902739394
Provider Name (Legal Business Name): INCLUSIVE INSIGHTS BEHAVIORAL CONSULTANTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
209 EASTWOOD PARK CIR SE
LENOIR NC
28645-6212
US
IV. Provider business mailing address
209 EASTWOOD PARK CIR SE
LENOIR NC
28645-6212
US
V. Phone/Fax
- Phone: 828-999-0355
- Fax:
- Phone: 828-999-0355
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KATELYN
O'HEARN
Title or Position: OWNER
Credential: BCBA
Phone: 828-999-0355