Active NPI
Jaysha Rivera Feliciano
- Behavior Technician
- Macon, GA
National Provider Identifier
1780318287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-210269
- Practice address
- 3871 Northside Dr Apt O6
Macon, GA 31210-2422 - Phone
- (478) 993-6233
- NPI assigned
- Jul 12, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-22-210269 | GA | Primary |
Addresses
Primary practice location
3871 Northside Dr Apt O6
Macon, GA 31210-2422
Mailing address
3871 Northside Dr Apt O6
Macon, GA 31210-2422
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 |
|---|---|---|---|
| RBT-22-210269 | GA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1780318287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3871 NORTHSIDE DR APT O6",
"city": "MACON",
"state": "GA",
"postal_code": "312102422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3871 NORTHSIDE DR APT O6",
"city": "MACON",
"state": "GA",
"postal_code": "312102422",
"telephone_number": "478-993-6233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA FELICIANO",
"first_name": "JAYSHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-12",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "GA",
"license": "RBT-22-210269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macon, GA
- River Edge Behavioral Health Center
- River Edge Behavioral Health Center
- River Edge Behavorial Health Center
- River Edge Behavorial Health Center
- River Edge Recovery Center Pharmacy
- Eduardo Emanuel Rivera
- Lauren D Rivera, PA-C
- Riverdale Radiology Center
- Angela G Rivers, NP
- Riverside Imaging Specialists, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.