Active NPI
Jermaine Shanta Ferebee
- Behavior Analyst
- Jacksonville, NC
National Provider Identifier
1174869887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-48283
- Practice address
- 200 Valencia Dr
Jacksonville, NC 28546-6311 - Phone
- (252) 341-4192
- NPI assigned
- Dec 27, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-21-48283 | Primary | |
| Developmental Therapist | 222Q00000X |
Addresses
Primary practice location
200 Valencia Dr
Jacksonville, NC 28546-6311
Mailing address
308 Greenville Blvd SE Ste B1
Greenville, NC 27858-5758
Phone (252) 341-4192
Other practice location 1
308 Greenville Blvd SE Ste B1
Greenville, NC 27858-5758
Phone (252) 341-4192
Other practice location 2
2708 NE 14th St
Suite 5
Pompano Beach, FL 33062-3565
Phone (888) 880-9279
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 |
|---|---|---|---|
| Priorities ABA, PLLC | Behavior Analyst | Past | Accepting new patients |
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
- Greenville, NC
- NPI 1942351234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615939200000",
"number": "1174869887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 GREENVILLE BLVD SE STE B1",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278585758",
"telephone_number": "252-341-4192",
"fax_number": "866-309-9297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 VALENCIA DR",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285466311",
"telephone_number": "252-341-4192"
}
],
"practiceLocations": [
{
"address_1": "308 Greenville Blvd SE Ste B1",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "NC",
"postal_code": "278585758",
"country_code": "US",
"telephone_number": "252-341-4192",
"fax_number": "866-309-9297",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2708 NE 14th St",
"address_2": "Suite 5",
"address_purpose": "LOCATION",
"city": "Pompano Beach",
"state": "FL",
"postal_code": "330623565",
"country_code": "US",
"telephone_number": "888-880-9279",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FEREBEE",
"first_name": "JERMAINE",
"middle_name": "SHANTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-12-27",
"last_updated": "2021-03-17",
"certification_date": "2021-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": "1-21-48283",
"primary": true
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.