BROOKE BOUCHER INGRAM (NPI# 1275024028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275024028 |
| Entity Type | Individual |
| Full Name | BROOKE BOUCHER INGRAM |
| Practice Address |
1225 S Church St Apt 336 Charlotte NC 28203-4186 |
| Mailing Address |
7 Mckenna Commons Ct Greenville SC 29615-2633 |
| Practice Telephone | 7048916253 |
| Enumeration Date | 2018-05-27 |
| Last Update Date | 2019-10-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | 0-19-9987 | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083811608 | Brooke Ingram | Specialist/Technologist | 602 Vonderburg Dr, Suite 201, Brandon, FL 33511-5900 | 2007-06-28 |
| Street Address |
1225 S CHURCH ST APT 336 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28203-4186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982225983 | William Bedard Michel | Emergency Medicine | Carolina Medical Center, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-04-30 |
| 1922636927 | Paulina M Kriska | Dentist | Cmc Dental Clinic, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-03-27 |
| 1386271930 | Irina Maria Geiculescu | Pediatrics | 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 | 2020-03-24 |
| 1205499316 | James C Winnek | Counselor | 1713 East Blvd., Charlotte, NC 28203 | 2019-04-16 |
| 1487114492 | Laurie Fford Counseling and Consulting Pllc | Counselor | 125 Remount Rd, Suite C-#391, Charlotte, NC 28203 | 2019-03-25 |
| 1184188815 | Sunday Money | Home Health | 2151 Hawkins St., Suite 201, Charlotte, NC 28203 | 2019-01-28 |
| 1164902706 | Lindsay Koonce Helton | Dietitian, Registered | 1218 East Blvd Ste G, Charlotte, NC 28203 | 2018-08-14 |
| 1376057406 | Veritas Collaborative Charlotte, LLC | Clinic/Center | 1900 Scott Avenue, Suite 101, Charlotte, NC 28203 | 2017-11-28 |
| 1043733306 | Kimberly Stripp | Pharmacist | 1300-b East Blvd, Charlotte, NC 28203 | 2017-07-19 |
| 1427570639 | Caroline Kaleel Fogleman | Optometrist | 1710 Kenilworth Ave Ste 210, Charlotte, NC 28203 | 2017-07-10 |
| Find all providers in zip 28203 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376054064 | Peace Power & Purpose | Assistant Behavior Analyst | 10709 Glenluce Ave, Charlotte, NC 28213-4239 | 2017-10-20 |
| 1699202374 | Elena Acampora | Assistant Behavior Analyst | 1401 E 7th St # 28204, Charlotte, NC 28204-6300 | 2017-05-12 |
| 1689125510 | Jennifer Young | Assistant Behavior Analyst | 2000 Cheatham Dam Rd, Charlotte, TN 37036-5033 | 2016-10-15 |
| 1740754191 | Michela Franceschinis | Assistant Behavior Analyst | 9305 Monroe Rd, Charlotte, NC 28270-1488 | 2019-01-18 |
| 1144794637 | Bhwc LLC | Assistant Behavior Analyst | 301 Mccullough Dr, Charlotte, NC 28262-3310 | 2019-01-17 |
| 1881175149 | Jessica Danielle Robinson | Assistant Behavior Analyst | 920 Blairhill Rd Ste 101, Charlotte, NC 28217-1563 | 2018-08-24 |
| 1053850891 | Jessica Gildea | Assistant Behavior Analyst | 2301 Crownpoint Executive Dr, Suite E, Charlotte, NC 28227-7824 | 2017-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306461439 | Lukes Aba | Assistant Behavior Analyst | 525 Willow Breeze Ct, Zebulon, NC 27597-9703 | 2020-06-15 |
| 1225525884 | Patterns Behavioral Services North Carolina, Inc | Assistant Behavior Analyst | 3738 National Dr, Ste 110, Raleigh, NC 27612 | 2018-04-19 |
| 1518475607 | Mirinda Cossel | Assistant Behavior Analyst | 1477 Nc 87, Cameron, NC 28326 | 2018-01-11 |
| 1407364573 | Leighanna Holloman | Assistant Behavior Analyst | 568 Sandhurst Dr, Fayetteville, NC 28304-4426 | 2018-01-11 |
| 1447796990 | Miriam Joe Osei | Assistant Behavior Analyst | 6976 Timberwood Dr, Fayetteville, NC 28314-1610 | 2017-01-09 |
| 1790237790 | Alexandria Hardison | Assistant Behavior Analyst | 3317 Masonboro Loop Rd Unit 150, Wilmington, NC 28409-2970 | 2016-10-26 |
| 1447705389 | Carolyne Largo | Assistant Behavior Analyst | 480 Seawell Rosser Rd, Olivia, NC 28368 | 2016-08-21 |
| 1942351234 | Priorities Aba, Pllc | Assistant Behavior Analyst | 308 Greenville Blvd Se Ste B1, Greenville, NC 27858-5758 | 2007-01-15 |
| 1093347957 | Margaret Grace Falk | Assistant Behavior Analyst | 280 Pinehurst Ave Ste 7, Southern Pines, NC 28387-7089 | 2020-02-09 |
| 1053955856 | Full Spectrum Aba of North Carolina LLC | Assistant Behavior Analyst | 4030 Wake Forest Rd Ste 349, Raleigh, NC 27609-0010 | 2019-11-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BROOKE BOUCHER INGRAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.