Genesis Therapeutic Services

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

GENESIS THERAPEUTIC SERVICES

Practice address

6905 Raeford Rd
Fayetteville, NC 28304-2632

Phone

(910) 835-5000

NPI assigned

Mar 20, 2025

Last updated

Mar 20, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Trevone McNeill

Title

Ceo

Phone

(910) 364-2693

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1487455085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6905 RAEFORD RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042632",
            "telephone_number": "910-835-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6905 RAEFORD RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042632",
            "telephone_number": "910-835-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "MCNEILL",
        "authorized_official_first_name": "TREVONE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-364-2693"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Marie Gemma-Marr, MA, LPC, NCC
• Amber June Gendron, PA-C
• Generations of Hope
• Genesis Balance Counseling, PLLC
• Genesis Developmental and Psychological Services (Genesis Early Childhood Services)
• Gentle Hands Home Health Agency, Inc.
• Gentle Hearts
• Carl Allen Gentry, DDS
• Saskia Geoghegan, CRNA
• George L Cooper MD

• Behavior Analyst in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Behavior Analyst in North Carolina

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

Verify at the official NPI Registry.