Active NPI
Jennifer Casey Gregory, BCBA
- Behavior Analyst
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-16-23769
- Practice address
- 2810 Coliseum Centre Dr Ste 520
Charlotte, NC 28217-3345 - Phone
- (980) 785-1113
- NPI assigned
- Aug 22, 2011
- Last updated
- Dec 18, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-16-23769 | NU | Primary |
Addresses
Primary practice location
2810 Coliseum Centre Dr Ste 520
Charlotte, NC 28217-3345
Mailing address
2810 Coliseum Centre Dr Ste 520
Charlotte, NC 28217-3345
Phone (980) 785-1113
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mosaic Group, LLC | Behavior Analyst | Current | Accepting new patients |
Locations
2810 Coliseum Centre Dr
Ste 520
Charlotte, NC 28217
600 Towne Centre Blvd
Ste 403
Pineville, NC 28134
14321 Winter Breeze Dr
Ste 91
Midlothian, VA 23113
Phone 9807851113 ext. 123
5153 Craig Rath Blvd
Midlothian, VA 23112
Phone (804) 544-9044
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702857600000",
"number": "1386924454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2810 COLISEUM CENTRE DR STE 520",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282173345",
"telephone_number": "980-785-1113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2810 COLISEUM CENTRE DR STE 520",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282173345",
"telephone_number": "980-785-1113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORY",
"first_name": "JENNIFER",
"middle_name": "CASEY",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-22",
"last_updated": "2023-12-18",
"certification_date": "2023-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": "1-16-23769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.