Fairclough Behavior Services LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

FAIRCLOUGH BEHAVIOR SERVICES LLC

Practice address

3852 Miranda CT
Suwanee, GA 30024-8670

Phone

(770) 608-7317

NPI assigned

Nov 29, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Jaun Paul Fairclough, BCBANPI 1508281270

Title

Owner/Bcba

Phone

(770) 608-7317

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaun Paul Fairclough

  • Behavior Analyst
  • Suwanee, GA
  • NPI 1508281270
  NPD Authorized official

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1568932804",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRCLOUGH BEHAVIOR SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-29",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "FAIRCLOUGH",
        "authorized_official_first_name": "JAUN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/BCBA",
        "authorized_official_telephone_number": "770-608-7317",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Mar 28, 2024; 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.