Active NPI
Jessica Watkins
- Behavior Analyst
- Greenville, NC
National Provider Identifier
1417513698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 3851 Dunhagan Rd Ste 102
Greenville, NC 27858-6640 - Phone
- (252) 751-0518
- Fax
- (252) 565-4505
- NPI assigned
- May 14, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Behavior Technician | 106S00000X | RBT-19-78808 | PA |
Addresses
Primary practice location
3851 Dunhagan Rd Ste 102
Greenville, NC 27858-6640
Mailing address
3851 Dunhagan Rd Ste 102
Greenville, NC 27858-6640
Phone (252) 751-0518
Other practice location 1
583 Shoemaker Rd Ste 230
King Of Prussia, PA 19406-4201
Phone (484) 681-2170
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 |
|---|---|---|---|
| RBT-19-78808 | PA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1417513698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3851 DUNHAGAN RD STE 102",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278586640",
"telephone_number": "252-751-0518",
"fax_number": "252-565-4505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3851 DUNHAGAN RD STE 102",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278586640",
"telephone_number": "252-751-0518",
"fax_number": "252-565-4505"
}
],
"practiceLocations": [
{
"address_1": "583 Shoemaker Rd Ste 230",
"address_purpose": "LOCATION",
"city": "King Of Prussia",
"state": "PA",
"postal_code": "194064201",
"country_code": "US",
"telephone_number": "484-681-2170",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WATKINS",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-14",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "PA",
"license": "RBT-19-78808",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.