Jaun Paul Fairclough

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

3852 Miranda CT
Suwanee, GA 30024-8670

Phone

(770) 608-7317

Fax

(770) 212-3714

NPI assigned

Mar 4, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Fairclough Behavior Services LLC

  • Behavior Analyst
  • Suwanee, GA
  • NPI 1568932804
  NPD Authorized official

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1508281270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3852 MIRANDA CT",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300248670",
            "telephone_number": "770-608-7317",
            "fax_number": "770-212-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3852 MIRANDA CT",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300248670",
            "telephone_number": "770-608-7317",
            "fax_number": "770-212-3714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2295 Henry Clower Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Snellville",
            "state": "GA",
            "postal_code": "300785707",
            "country_code": "US",
            "telephone_number": "770-608-7317",
            "fax_number": "678-922-7124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAIRCLOUGH",
        "first_name": "JAUN",
        "middle_name": "PAUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-04",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Ann Eyre, OTR/L CLT LANA
• Clarice M Ezeanya, DPT
• Facial Trauma Specialists LLC
• Genevieve L Fairbrother, M.D.
• Fairclough Behavior Services LLC
• Family and Friends Acupuncture
• Lama K Farran, M.S., CCC
• Ansley Yellen Feldman, MD
• Emily Felton
• Anita Fidai, RBT

• Behavior Analyst in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.