Active NPI
Shanika Coleman
- Behavior Analyst
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 3115
- Practice address
- 2504 Raeford Rd Ste 201
Fayetteville, NC 28305-5135 - Phone
- (910) 551-3466
- NPI assigned
- Dec 22, 2021
- Last updated
- Jul 23, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 3115 | NC | Primary |
| Assistant Behavior Analyst | 106E00000X | A1208 | NC | |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
2504 Raeford Rd Ste 201
Fayetteville, NC 28305-5135
Mailing address
4611 Duncastle Rd Apt 3B
Fayetteville, NC 28314-1656
Phone (985) 772-2991
Other practice location 1
1018 N Bragg Blvd
Spring Lake, NC 28390-3316
Phone (910) 295-2609
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3115 | NC | MD | Behavioral Analyst |
| A1208 | NC | MD | Assistant Behavior Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JJD Learning Academy | Behavior Analyst | Current | Accepting new patients |
Locations
2504 Raeford Rd
Ste 201
Fayetteville, NC 28305
Phone (910) 651-0131
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba JJD Learning Academy Behavioral Services
- Behavior Analyst
- Fayetteville, NC
- NPI 1942032594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753228800000",
"number": "1669132288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4611 DUNCASTLE RD APT 3B",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283141656",
"telephone_number": "985-772-2991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2504 RAEFORD RD STE 201",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283055135",
"telephone_number": "910-551-3466"
}
],
"practiceLocations": [
{
"address_1": "1018 N Bragg Blvd",
"address_purpose": "LOCATION",
"city": "Spring Lake",
"state": "NC",
"postal_code": "283903316",
"country_code": "US",
"telephone_number": "910-295-2609",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLEMAN",
"first_name": "SHANIKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-22",
"last_updated": "2025-07-23",
"certification_date": "2025-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": "3115",
"primary": true
},
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "NC",
"license": "A1208",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"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 Jul 23, 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.