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Deactivated NPI 1962265504 Deactivated / Inactive NPI Female Practitioner

Crystal Shaver

Behavior Technician • Concord, NC

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Crystal Shaver has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 06, 2024
NPI Deactivation Date August 27, 2025
Total Practice Duration ~1 Years of Practice (2024 – 2025)

Professional Overview & Biography Verified Profile Summary

Crystal Shaver was a registered Behavior Technician practicing in Concord, NC. Throughout an active medical career spanning 1 years, Crystal Shaver provided care at the practice location at 420 COPPERFIELD BLVD NE until profile deactivation on 2025-08-27.

Practice Location & Contact Primary Location

Practice Address

420 Copperfield Blvd Ne

Concord, NC 280252404

Telephone 7047062200
Associated Practice Facility / Clinic
🏢 Ardor Care Of Concord Llc Facility NPI 1356074553

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Concord, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 2.0 Yrs
Regional Practice Density
457 Specialists

Practicing in Concord, NC (13300 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
Deborah Hoerner-Deleon , LCSW

Social Worker - Clinical

NPI 1043637440

Licensed Clinical Social Worker

Ingrid Hudak , COTA, L

Occupational Therapy Assistant

NPI 1053090779

Certified Occupational Therapy Assistant, L

Tiffany Harris

Behavior Analyst

NPI 1073069472
Tiffany Lyons

Behavior Technician

NPI 1073330692
Nikita Gupta

Behavior Technician

NPI 1104531516
Pricila Soto

Behavior Technician

NPI 1174319172

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 27, 2025

Record deactivated on August 27, 2025

NPI Profile Active February 06, 2024

NPI status registered as active in NPPES database

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Updated Practice Location February 06, 2024

Registered at 420 COPPERFIELD BLVD NE, CONCORD, NC 280252404 (Tel: 7047062200)

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Updated Business Mailing Address February 06, 2024

Registered at 20602 BEAR CREEK CH RD, NEW LONDON, NC 281277777 (Tel: 2542452717)

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Provider Name / Credentials Updated February 06, 2024

Recorded as CRYSTAL SHAVER

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2024

Behavior Technician

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Initial NPI Registration & Enumeration February 06, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962265504
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 06, 2024
Last Update: February 06, 2024
Deactivation Date: August 27, 2025

Mailing Address

20602 Bear Creek Ch Rd

New London, NC 281277777

Phone: 2542452717

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.