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

Courageous Impact Advocacy & Support

Organization Behavior Analyst · NPI 1649141755

Courageous Impact Advocacy & Support is a Behavior Analyst in Supply, North Carolina. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
4

Practice location Address checks out

2179 Bayside Dr SW
Supply, NC 28462-3977
Phone: (910) 918-5586
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X
Behavior Analyst Taxonomy 103K00000X
Behavior Technician Taxonomy 106S00000X
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1649141755
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nyisha Powell — Cfps, Ceo · (910) 918-5586
NPI enumeratedSeptember 13, 2025
Last updated in NPPESSeptember 13, 2025
Certification dateSeptember 13, 2025
Mailing address2179 Bayside Dr Sw, Supply, NC 28462-3977

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