Individual provider Active NPI

Juliette Marie Maykovich, LBA & BCBA

  • Behavior Analyst
  • Fayetteville, NC
National Provider Identifier
1245991199
Registry record updated Jul 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2213 Issued in NC
Practice address
920 Cambridge St
Fayetteville, NC 28303-5300
Phone
(910) 493-3555
Fax
(910) 493-3520
NPI assigned
Jan 3, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 2213 NC Primary

Addresses

Primary practice location

920 Cambridge St
Fayetteville, NC 28303-5300

Mailing address

920 Cambridge St
Fayetteville, NC 28303-5300
Phone (910) 493-3555

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

LicenseStateTypeSpecialty
2213NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
A New Leaf Therapeutic Services, PLLC Behavior Analyst CurrentSince Jul 22, 2025 Accepting new patients

Locations

920 Cambridge St
Fayetteville, NC 28303
Phone (910) 493-3555

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752883200000",
    "number": "1245991199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 CAMBRIDGE ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035300",
            "telephone_number": "910-493-3555",
            "fax_number": "910-493-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 CAMBRIDGE ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035300",
            "telephone_number": "910-493-3555",
            "fax_number": "910-493-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYKOVICH",
        "first_name": "JULIETTE",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "LBA & BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-03",
        "last_updated": "2025-07-19",
        "certification_date": "2025-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "2213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.