Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brooke Boucher Ingram

Individual provider Assistant Behavior Analyst · NPI 1275024028

Brooke Boucher Ingram is an Assistant Behavior Analyst in Charlotte, North Carolina. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

1225 S Church St Apt 336
Charlotte, NC 28203-4186
Phone: (704) 891-6253
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 125 Baldwin Ave, Charlotte, NC 28204-3364 — (980) 423-1210

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 893 (NC)
Assistant Behavior Analyst Taxonomy 106E00000X · Licence 0-19-9987

Record details

NPI number1275024028
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 27, 2018
Last updated in NPPESFebruary 18, 2025
Certification dateFebruary 18, 2025

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