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

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

Practice location Address checks out

1225 S Church St Apt 336
Charlotte, NC 28203-4186
Phone: (704) 891-6253
Show map & directions

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
Mailing address7 McKenna Commons Ct, Greenville, SC 29615-2633

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