Individual provider Active NPI

Jairus Privette

  • Behavior Technician
  • Richmond, VA
National Provider Identifier
1669309233
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
2920 W Broad St Ste 215
Richmond, VA 23230-5103
Phone
(800) 883-8441
NPI assigned
May 6, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

2920 W Broad St Ste 215
Richmond, VA 23230-5103

Mailing address

6720 West Rd
Chesterfield, VA 23832-8359
Phone (443) 286-7793

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

NPI Registry JSON

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

{
    "created_epoch": "1778025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1669309233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 WEST RD",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238328359",
            "telephone_number": "443-286-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 W BROAD ST STE 215",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232305103",
            "telephone_number": "800-883-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIVETTE",
        "first_name": "JAIRUS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-06",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.