Individual provider Active NPI

Vickie B. Jones

  • Early Intervention Provider Agency
  • Fayetteville, NC
National Provider Identifier
1255527453
Registry record updated Aug 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Practice address
581 N Reilly Rd
Fayetteville, NC 28303-2433
Phone
(910) 797-0410
Fax
(910) 920-2660
NPI assigned
Sep 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X A4617 NC
Behavior Technician 106S00000X 24-350900 NC
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

581 N Reilly Rd
Fayetteville, NC 28303-2433

Mailing address

5309 Hummingbird PL
Fayetteville, NC 28312-8060
Phone (910) 797-0410

Other practice location 1

5309 Hummingbird Pl
Fayetteville, NC 28312-8060
Phone (910) 797-0410

Other practice location 2

576 N Reilly Rd
Fayetteville, NC 28303-2499
Phone (910) 920-2661

Other practice location 3

5434 Yadkin Rd
Fayetteville, NC 28303-3199
Phone (910) 920-2661

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
24-350900NCMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786838400000",
    "number": "1255527453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5309 HUMMINGBIRD PL",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283128060",
            "telephone_number": "910-797-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 N REILLY RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283032433",
            "telephone_number": "910-797-0410",
            "fax_number": "910-920-2660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5309 Hummingbird Pl",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283128060",
            "country_code": "US",
            "telephone_number": "910-797-0410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "576 N Reilly Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283032499",
            "country_code": "US",
            "telephone_number": "910-920-2661",
            "fax_number": "910-920-2660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5434 Yadkin Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283033199",
            "country_code": "US",
            "telephone_number": "910-920-2661",
            "fax_number": "910-920-2660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "VICKIE",
        "middle_name": "B.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2026-08-16",
        "certification_date": "2026-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NC",
            "license": "A4617",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NC",
            "license": "24-350900",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "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 Aug 16, 2026; 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.