MEDICARE: ALIYAH ARCHIE

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1366294407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALIYAH ARCHIE

Provider Business Mailing Address
First Line	:	733 YORKDALE DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28217-3494
Country	:	US
Telephone Number	:	803-201-9397
Fax Number	:

Provider Business Practice Location Address
First Line	:	1528 UNION RD
Second Line	:
City	:	GASTONIA
State	:	NC
Zip	:	28054-2200
Country	:	US
Telephone Number	:	803-201-9397
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2024
Last Update Date	:	04/02/2024

Similar Medicare Providers

1427586700 — FAMILY BEHAVIORAL HEALTH SERVICES, INC
Practice Location Address:

1528 UNION RD
GASTONIA, NC
28054-2200

Practice Phone: 704-995-4724
Practice Fax: 704-864-1476

1841872140 — CHANCEY STALNAKER
Practice Location Address:

1528 UNION RD
GASTONIA, NC
28054-2200

Practice Phone: 704-864-1477
Practice Fax:

1174285662 — MARISSA MERCEDES OWENS LCSWA
Practice Location Address:

1528 UNION RD
GASTONIA, NC
28054-2200

Practice Phone: 704-864-1477
Practice Fax:

1184332611 — KIESHA VICTORIA WILLIAMS LMSW
Practice Location Address:

1528 UNION RD
GASTONIA, NC
28054-2200

Practice Phone: 704-865-1477
Practice Fax:

1447199658 — WRIGHT DIRECTION RECOVERY SERVICES
Practice Location Address:

2372 RIDING TRAIL RD
GASTONIA, NC
28054-5932

Practice Phone: 980-289-8271
Practice Fax:

1841139854 — JARED THOMAS KLEIN
Practice Location Address:

2525 COURT DR
GASTONIA, NC
28054-2140

Practice Phone: 704-834-2000
Practice Fax:

Directions to “ ALIYAH ARCHIE ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.