North Carolina accounts for 421 behavioral health providers in the latest CMS NPI registry weekly update, representing 4% of the national weekly total. This concentration reflects a state workforce that remains moderately sized but concentrated enough to signal established infrastructure in urban and regional hubs. The state added 1 provider this week and 222 year-to-date, indicating sustained but modest growth in the behavioral health pipeline.

The credential mix reveals a structural imbalance typical of emerging ABA markets. North Carolina reports 23 BCBAs and 61 RBTs, but zero dual BCBA-RBT credentialed providers—a notable gap suggesting limited career progression signals within the ABA track itself. The BCBA-to-RBT ratio of roughly 1:2.7 indicates supervision capacity constraints; best practice ratios typically approach 1:5 to 1:8 RBTs per BCBA. Beyond core ABA credentials, the workforce is heavily weighted toward mental health and speech pathology: 17 LCMHCA and 17 LCSW providers dominate the credential distribution, reflecting cross-disciplinary service delivery common to integrated behavioral health settings.

The workforce skews female at 86%, with 19 nonbinary providers and only 29 male providers represented. Geographic concentration centers on Charlotte, Raleigh, Fayetteville, and Wilmington, though Smithfield appears as a notable outlier in the top-five list. No single organization dominates the market; Coastal Horizons Center and Next Level Family Solutions each appear twice, suggesting a fragmented provider landscape with 82 organizations across 339 individuals.

North Carolina's BCBA shortage relative to its RBT base, combined with zero dual credentials, suggests limited internal mobility for RBTs seeking supervisory pathways and potential scaling challenges for clinic expansion.