DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ABC OF NC CHILD DEVELOPMENT CENTER

MEDICARE: ABC OF NC CHILD DEVELOPMENT CENTER
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
1103TC0700XClinical Psychologist4074NC
2103K00000XBehavior Analyst1084186
3103K00000XBehavior Analyst122977
4103K00000XBehavior Analyst0125034
5252Y00000XEarly Intervention Provider Agency

General Provider Information

NPI Number : 1922277417
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABC OF NC CHILD DEVELOPMENT CENTER
Provider Business Mailing Address
First Line : 905 FRIEDBERG CHURCH RD
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27127-9803
Country : US
Telephone Number : 336-251-1180
Fax Number : 336-251-1181
Provider Business Practice Location Address
First Line : 905 FRIEDBERG CHURCH RD
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27127-9803
Country : US
Telephone Number : 336-251-1180
Fax Number : 336-251-1181
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MS. SELENE JOHNSON
Credential : M.ED.
Telephone Number : 336-251-1180
Provider Enumeration Date : 02/28/2008
Last Update Date : 06/21/2023

Similar Medicare Providers

1417899428 — RILEY HALL
Practice Location Address:
905 FRIEDBERG CHURCH RD
WINSTON SALEM, NC
27127-9803
Practice Phone: 336-251-1180
Practice Fax:
1487199964 — JAYONIECE TARA BROOKS BCBA
Practice Location Address:
905 FRIEDBERG CHURCH RD
WINSTON SALEM, NC
27127-9803
Practice Phone: 336-251-1180
Practice Fax:
1659870426 — MRS. KATHRYN R FRANK BCABA
Practice Location Address:
905 FRIEDBERG CHURCH RD
WINSTON SALEM, NC
27127-9803
Practice Phone: 336-251-1180
Practice Fax: 336-251-1181
1205316981 — HANNAH GRACE PREVATT MS, ED.S, LCMHC, NCC
Practice Location Address:
905 FRIEDBERG CHURCH RD
WINSTON SALEM, NC
27127-9803
Practice Phone: 336-251-1180
Practice Fax:
1437613650 — ERICA KRISTEN BLASIC LPC
Practice Location Address:
905 FRIEDBERG CHURCH RD
WINSTON SALEM, NC
27127-9803
Practice Phone: 336-251-1180
Practice Fax:
1619522661 — ELIZABETH LAPRADE RBT, LCSW-A
Practice Location Address:
905 FRIEDBERG CHURCH RD
WINSTON SALEM, NC
27127-9803
Practice Phone: 336-251-1180
Practice Fax:

Directions to “ABC OF NC CHILD DEVELOPMENT CENTER ” 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.