Jeffrey Beaulieu
Individual provider Active NPI Behavior Technician · Calabash, NC
NPI 1285599472 · NPPES record last updated Dec 19, 2025
Key facts
- NPI
- 1285599472
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-25-501795 (NC)
- Practice address
- 8854 Radcliff Dr NW
Calabash, NC 28467-2180 - Phone
- (518) 605-6663
- NPI assigned
- Dec 19, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-25-501795 | NC | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-25-501795 | NC | Yes |
Addresses
Primary practice location
8854 Radcliff Dr NW
Calabash, NC 28467-2180
Mailing address
8854 Radcliff Dr NW
Calabash, NC 28467-2180
Phone (518) 605-6663
Other providers in Calabash, NC
- Access NC, LLC
- Shea Beloff
- Janet Brooks
- Brunswick Gericare PC
- Calabash Family Pharmacy Inc
- Calabash Medical Center,PA
All providers in Calabash, NC · Behavior Technician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.