Active NPI
Janay Lindsey
- Behavior Technician
- Southern Pines, NC
National Provider Identifier
1124693403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-21-166669
- Practice address
- 375 SE Broad St Ste a
Southern Pines, NC 28387-6000 - Phone
- (910) 725-0702
- Fax
- (910) 246-1601
- NPI assigned
- May 20, 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 | RBT-21-166669 | NC | Primary |
Addresses
Primary practice location
375 SE Broad St Ste a
Southern Pines, NC 28387-6000
Mailing address
375 SE Broad St Ste a
Southern Pines, NC 28387-6000
Phone (910) 725-0702
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-21-166669 | NC | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Effective Interventions | Current | Accepting new patients |
Locations
375 SE Broad St
Ste A
Southern Pines, NC 28387
Phone (910) 725-0702
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 and National Provider Directory roles.
-
- Behavior Analyst
- Southern Pines, NC
- NPI 1568868297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621468800000",
"number": "1124693403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 SE BROAD ST STE A",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283876000",
"telephone_number": "910-725-0702",
"fax_number": "910-246-1601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 SE BROAD ST STE A",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283876000",
"telephone_number": "910-725-0702",
"fax_number": "910-246-1601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDSEY",
"first_name": "JANAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-20",
"last_updated": "2021-05-20",
"certification_date": "2021-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NC",
"license": "RBT-21-166669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southern Pines, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.