Individual provider Active NPI

Jaime Claire Jeffers, MA, RBT

  • Behavior Technician
  • Woodbridge, VA
National Provider Identifier
1366088148
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-19-92016 Issued in VA
Practice address
2011 Mayflower Dr
Woodbridge, VA 22192-2322
Phone
(740) 359-5624
Fax
(703) 492-6787
NPI assigned
Nov 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-19-92016 VA Primary

Addresses

Primary practice location

2011 Mayflower Dr
Woodbridge, VA 22192-2322

Mailing address

2011 Mayflower Dr
Woodbridge, VA 22192-2322
Phone (740) 359-5624

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
RBT-19-92016VAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Pathways LLC CurrentSince Oct 17, 2021 Accepting new patients
Therapeutic Innovations ABA LLC Behavior Technician CurrentSince Oct 17, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1366088148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 MAYFLOWER DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922322",
            "telephone_number": "740-359-5624",
            "fax_number": "703-492-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 MAYFLOWER DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922322",
            "telephone_number": "740-359-5624",
            "fax_number": "703-492-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERS",
        "first_name": "JAIME",
        "middle_name": "CLAIRE",
        "name_prefix": "Ms.",
        "credential": "MA, RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-27",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "VA",
            "license": "RBT-19-92016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.