Jessa Marie Peacock, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-34245 Issued in NC

Practice address

15501 Weston Pkwy Ste 150
Cary, NC 27513-8638

Phone

(551) 235-1947

NPI assigned

Aug 9, 2017

Last updated

Jan 23, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jessa Price Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1265957377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 AUSTIN ST STE 200",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15501 WESTON PKWY STE 150",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138638",
            "telephone_number": "551-235-1947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEACOCK",
        "first_name": "JESSA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-09",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1-18-34245",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSA",
            "last_name": "PRICE",
            "credential": "BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• PB Ventures of America
• Pca Pain Care Center of Cary PLLC
• Pcah Cary Cares LLC (Preferred Care at Home of Cary)
• Peace by Piece Counseling Services PLLC
• Jenna Berry Peacock
• Schquthia Fearrington Peacock, FNP
• Elizabeth Morgan Peak
• James Pryor Peak, PT
• Toni Pearce, MS, OTR/L
• Janeth E Pearl, FNP

• Behavior Analyst in Cary, NC
• Providers in Cary, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.