Active NPI
Jahlil Northover
- Behavior Technician
- Culpeper, VA
National Provider Identifier
1083300479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 767 Madison Rd Ste 110
Culpeper, VA 22701-3340 - Phone
- (540) 738-7720
- Fax
- (540) 779-0728
- NPI assigned
- Apr 18, 2023
- Last updated
- Apr 18, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | NU | Primary |
Addresses
Primary practice location
767 Madison Rd Ste 110
Culpeper, VA 22701-3340
Mailing address
767 Madison Rd Ste 110
Culpeper, VA 22701-3340
Phone (540) 738-7720
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Behavior Doc LLC | Single Specialty | Current | Accepting new patients |
Locations
767 Madison Rd
Ste 110
Culpeper, VA 22701
Phone (540) 738-7220
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681776000000",
"number": "1083300479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "767 MADISON RD STE 110",
"city": "CULPEPER",
"state": "VA",
"postal_code": "227013340",
"telephone_number": "540-738-7720",
"fax_number": "540-779-0728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "767 MADISON RD STE 110",
"city": "CULPEPER",
"state": "VA",
"postal_code": "227013340",
"telephone_number": "540-738-7720",
"fax_number": "540-779-0728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORTHOVER",
"first_name": "JAHLIL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-04-18",
"last_updated": "2023-04-18",
"certification_date": "2023-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Culpeper, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.