Active NPI
Jan Matthew Fabian, BCBA
- Behavior Analyst
- New Bern, NC
National Provider Identifier
1336026392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2715
- Practice address
- 2420 US 70 Hwy E
New Bern, NC 28560-6798 - Phone
- (252) 787-5981
- NPI assigned
- Aug 20, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 2715 | OH | |
| Behavior Analyst | 103K00000X | 2715 | NC | Primary |
Addresses
Primary practice location
2420 US 70 Hwy E
New Bern, NC 28560-6798
Mailing address
647 Brawley School Rd Ste 104
Mooresville, NC 28117-6876
Phone (858) 870-4703
Other practice location 1
604 Taberna Cir
New Bern, NC 28562-8773
Phone (419) 217-8242
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 |
|---|---|---|---|
| 2715 | OH | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755648000000",
"number": "1336026392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "647 BRAWLEY SCHOOL RD STE 104",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281176876",
"telephone_number": "858-870-4703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2420 US 70 HWY E",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285606798",
"telephone_number": "252-787-5981"
}
],
"practiceLocations": [
{
"address_1": "604 Taberna Cir",
"address_purpose": "LOCATION",
"city": "New Bern",
"state": "NC",
"postal_code": "285628773",
"country_code": "US",
"telephone_number": "419-217-8242",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FABIAN",
"first_name": "JAN",
"middle_name": "MATTHEW",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-20",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OH",
"license": "2715",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": "2715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.