Individual provider Active NPI

Sharonda Nisha Ferguson, LCMHC,BCBA,LBA

  • Behavior Analyst
  • Fayetteville, NC
National Provider Identifier
1659615896
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
958 Issued in NC
Practice address
351 Wagoner Drive
Suite 350
Fayetteville, NC 28303
Phone
(910) 493-3999
Fax
(910) 728-4644
NPI assigned
Nov 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 10297 NC
Behavior Analyst 103K00000X 1-12-12589 NC
Behavior Analyst 103K00000X 958 NC Primary

Addresses

Primary practice location

351 Wagoner Drive
Suite 350
Fayetteville, NC 28303

Mailing address

6985 Nexus CT Ste 107
Fayetteville, NC 28304-3186
Phone (910) 493-3999

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

LicenseStateTypeSpecialty
958NCMDBehavioral Analyst
10297NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan ABA Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1352505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1659615896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6985 NEXUS CT STE 107",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043186",
            "telephone_number": "910-493-3999",
            "fax_number": "910-728-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 WAGONER DRIVE",
            "address_2": "SUITE 350",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28303",
            "telephone_number": "910-493-3999",
            "fax_number": "910-728-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "SHARONDA",
        "middle_name": "NISHA",
        "name_prefix": "Ms.",
        "credential": "LCMHC,BCBA,LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-10",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "10297",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1-12-12589",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.