Fairclough Behavior Services Al

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

FAIRCLOUGH BEHAVIOR SERVICES AL

Practice address

1 Chase Corporate Dr Ste 400
Hoover, AL 35244-7001

Phone

(770) 608-7317

Fax

(770) 212-3714

NPI assigned

Mar 28, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Jaun Paul Fairclough, BCBANPI 1508281270

Title

Owner

Phone

(770) 608-7317

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Jaun Paul Fairclough

  • Behavior Analyst
  • Suwanee, GA
  • NPI 1508281270
  Authorized official Same address or phone

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1275384190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3852 MIRANDA CT",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300248670",
            "telephone_number": "770-608-7317",
            "fax_number": "770-212-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHASE CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352447001",
            "telephone_number": "770-608-7317",
            "fax_number": "770-212-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRCLOUGH BEHAVIOR SERVICES AL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "FAIRCLOUGH",
        "authorized_official_first_name": "JAUN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-608-7317",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Hoover, AL
• Providers in Hoover, AL by specialty
• Behavior Analyst in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.