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NPI 1740775030ActiveOrganization· Contractor· Charlotte, NC

Contractor in Charlotte, North Carolina, registered in NPPES in June 2018. The authorized official on file is Tylan Witherspoon, Director.

Overview

NPI1740775030
StatusActive
Entity typeOrganization
NPI issuedJun 28, 2018
Last updated in NPPESJun 28, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Contractor Primary171W00000X—NC
Behavior Analyst103K00000X—NC
Marriage & Family Therapist106H00000X—NC
Behavior Technician106S00000X—NC
Personal Emergency Response Attendant146D00000X—NC
Driver172A00000X—NC
Community Health Worker172V00000X—NC
Meals174200000X—NC
Health Educator174H00000X—NC
Dance Therapist225600000X—NC
Recreation Therapist225800000X—NC
Recreational Therapist Assistant226000000X—NC
Home Health Aide374U00000X—NC

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Contractor providers in Charlotte

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