Healthcare Provider Details

I. General information

NPI: 1184531238
Provider Name (Legal Business Name): ALLIE MELISSA BARTLETT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7334 CHAPEL HILL RD
RALEIGH NC
27607-5099
US

IV. Provider business mailing address

7980 CHAPEL HILL RD
CARY NC
27513-4648
US

V. Phone/Fax

Practice location:
  • Phone: 919-377-2399
  • Fax: 919-800-3925
Mailing address:
  • Phone: 919-377-2399
  • Fax: 919-800-3925

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number4702
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: