Jared Libertelli
Individual provider Active NPI Behavior Technician · Linden, NC
NPI 1104718527 · NPPES record last updated Jul 18, 2025
Key facts
- NPI
- 1104718527
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 6112 Proverbs St
Linden, NC 28356-4400 - Phone
- (910) 729-4972
- NPI assigned
- Jul 18, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
6112 Proverbs St
Linden, NC 28356-4400
Mailing address
6604 Wofford CT
Fayetteville, NC 28311-0144
Other providers in Linden, NC
- Taryn E Gaudet-Garrett
- Dionne Rivers Holliday
- Donald Johnson
- Falon Aliese Kessler
- Deborah Elaine Kratz
- Cedric Quincy Matthews
- Nightingale Resource Center, Inc
- Omega Independent Living Services, Inc.
- Reaching Developmental Milestones LLC
- Rachel Torres Rivera
All providers in Linden, NC · Behavior Technician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.