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NPI Code Detail

MEDICARE: PRAXIS BEHAVIOR LLC

MEDICARE: PRAXIS BEHAVIOR LLC
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1609727940
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRAXIS BEHAVIOR LLC
Provider Business Mailing Address
First Line : 3804 ROBBINS BROOK DR
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27107-2691
Country : US
Telephone Number : 407-408-3168
Fax Number :
Provider Business Practice Location Address
First Line : 3804 ROBBINS BROOK DR
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27107-2691
Country : US
Telephone Number : 407-408-3168
Fax Number :
Authorized Official
Title or Position : OWNER
Name : CLEO READY
Credential : BCBA, LBA
Telephone Number : 407-408-3168
Provider Enumeration Date : 02/04/2026
Last Update Date : 02/10/2026

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