MICHELLE PENDERGRAPH
NPI 1710538541
Behavior Technician in Fayetteville, NC

Active since September 23, 2019
4161 SYCAMORE DAIRY RD, FAYETTEVILLE, NC 28303(252) 341-4192 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michelle Pendergraph NPPES

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

MICHELLE PENDERGRAPH (NPI 1710538541) is an individual behavior technician in Fayetteville, North Carolina and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1710538541
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameMICHELLE PENDERGRAPH
Location Address4161 SYCAMORE DAIRY RDFayetteville, NC 28303-3460
Mailing Address2632 Daniel Boone LnHope Mills, NC 28348-8026 · (910) 388-9124
Sole ProprietorYes
Enumeration DateSeptember 23, 2019
Last NPPES UpdateSeptember 29, 2023
NPPES CertifiedSeptember 29, 2023
NPI 1710538541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
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.
4161 SYCAMORE DAIRY RD, Fayetteville, NC 28303

Other Names 1

Former Name (1)Michelle Pendergraph-rose

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Behavior Technician
4161 SYCAMORE DAIRY RD
FAYETTEVILLE, NC 28303
Behavior Technician
4161 SYCAMORE DAIRY RD
FAYETTEVILLE, NC 28303
Behavior Technician
4161 SYCAMORE DAIRY RD
FAYETTEVILLE, NC 28303
Behavior Technician
4161 SYCAMORE DAIRY RD
FAYETTEVILLE, NC 28303
Behavior Technician
4161 SYCAMORE DAIRY RD
FAYETTEVILLE, NC 28303
Behavior Technician
4161 SYCAMORE DAIRY RD
FAYETTEVILLE, NC 28303
Behavior Technician
4161 SYCAMORE DAIRY RD
FAYETTEVILLE, NC 28303
Behavior Technician
4161 SYCAMORE DAIRY RD
FAYETTEVILLE, NC 28303

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 Michelle Pendergraph's NPI number?

The NPI number for Michelle Pendergraph is 1710538541. It was assigned to this individual provider in the NPPES registry on September 23, 2019. The provider is also known as Michelle Pendergraph-Rose.

Where is Michelle Pendergraph located?

Michelle Pendergraph practices at 4161 Sycamore Dairy Rd, Fayetteville, NC 28303. The listed phone number is (252) 341-4192.

What is Michelle Pendergraph'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 Michelle Pendergraph was last updated on September 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.