Jasmine Hailey Dial

Individual provider Active NPI Behavior Technician · Maxton, NC

NPI 1255210746 · NPPES record last updated Aug 28, 2025

Key facts

NPI
1255210746
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1012 Old Red Springs Rd
Maxton, NC 28364-7436
Phone
(910) 674-9877
NPI assigned
Aug 28, 2025
Sex
Female
Sole proprietor
Yes

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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1012 Old Red Springs Rd
Maxton, NC 28364-7436

Mailing address

1012 Old Red Springs Rd
Maxton, NC 28364-7436
Phone (910) 674-9877

Other providers in Maxton, NC

All providers in Maxton, NC · Behavior Technician in North Carolina

Sources for this page

Verify at the official NPI Registry.