Active NPI
Jennifer Beth Brackett, M.A. ED
- Behavior Technician
- Chapel Hill, NC
National Provider Identifier
1003571654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 50101 Governors Dr Ste 170
Chapel Hill, NC 27517-9257 - Phone
- (919) 449-7713
- NPI assigned
- Nov 8, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
50101 Governors Dr Ste 170
Chapel Hill, NC 27517-9257
Mailing address
50101 Governors Dr Ste 170
Chapel Hill, NC 27517-9257
Phone (919) 449-7713
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636329600000",
"number": "1003571654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50101 GOVERNORS DR STE 170",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275179257",
"telephone_number": "919-449-7713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50101 GOVERNORS DR STE 170",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275179257",
"telephone_number": "919-449-7713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRACKETT",
"first_name": "JENNIFER",
"middle_name": "BETH",
"name_prefix": "Miss",
"credential": "M.A. ED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-08",
"last_updated": "2021-11-08",
"certification_date": "2021-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.