Active NPI
Vickie B. Jones
- Early Intervention Provider Agency
- Fayetteville, NC
National Provider Identifier
1255527453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 24-350900 | NC | MD | Behavior 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.