Jolie Ann Odom, BCBA

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1215 Jones Franklin Rd
Raleigh, NC 27606-5440

Phone

(984) 689-9240

NPI assigned

Jan 7, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1760955348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 PILOT RILEY RD",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "275976219",
            "telephone_number": "984-689-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 JONES FRANKLIN RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276065440",
            "telephone_number": "984-689-9240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 Fayetteville St Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276013000",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "421 Fayetteville St Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276013000",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODOM",
        "first_name": "JOLIE",
        "middle_name": "ANN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-07",
        "last_updated": "2025-09-11",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Octave Behavioral Michigan, PC
• Octavian M. Belcea, MD PA
• Odissea Counseling PLLC
• Nia Odlum-Thomas, MSW, LCSW-A, CTP
• Barrett Elizabeth Odom, DNP
• Patricia-Marie Edge Odom, NP
• Sarah B Odom, PA
• Odyssey Psychiatry and Wellness PLLC
• Monica Oei, MD
• Matthew David Oettinger, MD

• Behavior Technician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Behavior Technician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.