Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KAMEELAH B FENDERSON
NPI 1629832217
Behavior Technician in Charlotte, NC

Active since February 13, 2024
1300 BAXTER ST, CHARLOTTE, NC 28204(704) 366-1075 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kameelah B Fenderson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAMEELAH B FENDERSON (NPI 1629832217) is an individual behavior technician in Charlotte, North Carolina, licensed in North Carolina (RBT-22-232991) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1629832217
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameKAMEELAH B FENDERSON
Location Address1300 BAXTER STCharlotte, NC 28204-3053
Mailing Address41 Pacella Park DrRandolph, MA 02368-1755 · (781) 440-0400
Sole ProprietorNo
Enumeration DateFebruary 13, 2024
Last NPPES UpdateJune 22, 2026
NPPES CertifiedJune 22, 2026
NPI 1629832217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed in NC · RBT-22-232991
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
1300 BAXTER ST, Charlotte, NC 28204

Other Identifiers 1

Medicaid110026265EMA

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
1300 BAXTER ST, SUITE 450 AND 455
CHARLOTTE, NC 28204
Ambulance (Land Transport)
1300 BAXTER ST, SUITE 240
CHARLOTTE, NC 28204
Home Health
1300 BAXTER ST, #240
CHARLOTTE, NC 28204
Counselor (Mental Health)
1300 BAXTER ST, SUITE 265
CHARLOTTE, NC 28204
Behavior Technician
1300 BAXTER ST, SUITE 450 AND 455
CHARLOTTE, NC 28204
Behavior Technician
1300 BAXTER ST
CHARLOTTE, NC 28204
Behavior Analyst
1300 BAXTER ST
CHARLOTTE, NC 28204
Behavior Analyst
1300 BAXTER ST
CHARLOTTE, NC 28204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kameelah Fenderson's NPI number?

The NPI number for Kameelah Fenderson is 1629832217. It was assigned to this individual provider in the NPPES registry on February 13, 2024.

Where is Kameelah Fenderson located?

Kameelah Fenderson practices at 1300 Baxter St, Charlotte, NC 28204. The listed phone number is (704) 366-1075.

What is Kameelah Fenderson's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Kameelah Fenderson was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.