Jamie B Etringer, RBT

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-54226 Issued in NC

Practice address

210 Tals Rock Way Ste 3
Cary, NC 27519-1919

Phone

(919) 745-8892

NPI assigned

Apr 5, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Jamie Byrum Former name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hands Center for Autism

  • Community/Behavioral Health Agency
  • Cary, NC
  • NPI 1881151249
  NPD
• Advanced Behavior Consultants

  • Behavior Analyst
  • Clarksville, TN
  • NPI 1134410905
  NPD (past)

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1528520673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 POPLAR ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277039447",
            "telephone_number": "252-299-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 TALS ROCK WAY STE 3",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275191919",
            "telephone_number": "919-745-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETRINGER",
        "first_name": "JAMIE",
        "middle_name": "B",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-05",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1-21-54226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD (BACB)",
            "identifier": "RBT-19-79932",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "BYRUM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Etheridge Psychology, P.a.
• Kaylen Marissa Etheridge
• Mary Anne Etheridge, PH.D.
• Roy L Etheridge, PH.D.
• Gretchen Ethridge
• Etteilla Wellness Services PLLC
• Eunoia Counseling, PLLC
• Dawn Priscilla Evancho, PA-C
• Bradley H Evans, MD
• Jessica Sarah Evans

• Behavior Analyst in Cary, NC
• Providers in Cary, 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 Oct 21, 2021; 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.