Jade Rebecca Naisang
Individual provider Active NPI Behavior Technician · Fairview, NC
NPI 1174200992 · NPPES record last updated Jul 3, 2023
Key facts
- NPI
- 1174200992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- 000048407743 (NC)
- Practice address
- 63 Chin Hills Lane
Fairview, NC 28730-0084 - Phone
- (828) 774-6329
- NPI assigned
- Jul 3, 2023
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000048407743 | NC | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 000048407743 | NC | Yes |
Addresses
Primary practice location
63 Chin Hills Lane
Fairview, NC 28730-0084
Mailing address
PO Box 84
Fairview, NC 28730-0084
Phone (828) 774-6329
Other providers in Fairview, NC
- Joy Lynn Metevier
- Michael Martinsen DDS, PLLC
- Lydia Morrow
- Matthew Langdon Moye
- Myers Optical Center Inc.
- New Hope Chiropractic
- Louise Wooley Noble
- Diane Paige
- Lauren Penley
- Michael Poggioli
All providers in Fairview, 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 3, 2023. 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.