NPIMap

Organization Active NPI

Behavior Change Agents LLC

  • Behavior Analyst
  • Fayetteville, NC
National Provider Identifier
1275012270
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BEHAVIOR CHANGE AGENTS LLC
Practice address
5948 Fisher Rd Ste 202
Fayetteville, NC 28304-5751
Phone
(980) 549-1484
Fax
(910) 766-6080
NPI assigned
Aug 9, 2018
Last updated
Jan 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Authorized official

Name
Terris Jeanine Turner
Title
Admin Assistant
Phone
(910) 849-0877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

5948 Fisher Rd Ste 202
Fayetteville, NC 28304-5751

Mailing address

5948 Fisher Rd Ste 202
Fayetteville, NC 28304-5751
Phone (980) 549-1484

Other practice location 1

1016 Issac Dock Dr
Fayetteville, NC 28314
Phone (980) 549-1484

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 42

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1275012270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5948 FISHER RD STE 202",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283045751",
            "telephone_number": "980-549-1484",
            "fax_number": "910-766-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5948 FISHER RD STE 202",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283045751",
            "telephone_number": "980-549-1484",
            "fax_number": "910-766-6080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1016 Issac Dock Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "28314",
            "country_code": "US",
            "telephone_number": "980-549-1484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEHAVIOR CHANGE AGENTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-09",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "TERRIS",
        "authorized_official_middle_name": "JEANINE",
        "authorized_official_title_or_position": "ADMIN ASSISTANT",
        "authorized_official_telephone_number": "910-849-0877"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "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 Jan 15, 2020; 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.