Jessica Bailey
Individual provider Active NPI Behavior Technician · Columbia, SC
NPI 1831980374 · NPPES record last updated May 14, 2025
Key facts
- NPI
- 1831980374
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1320 Main St Ste 300
Columbia, SC 29201-3266 - Phone
- (877) 418-2978
- NPI assigned
- May 14, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | SC | Yes |
Addresses
Primary practice location
1320 Main St Ste 300
Columbia, SC 29201-3266
Mailing address
2209 Bowen Corner Ave
Hanahan, SC 29410
Phone (803) 572-6398
NPI Registry JSON
{
"created_epoch": "1747180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747180800000",
"number": "1831980374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2209 BOWEN CORNER AVE",
"city": "HANAHAN",
"state": "SC",
"postal_code": "29410",
"telephone_number": "803-572-6398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 MAIN ST STE 300",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292013266",
"telephone_number": "877-418-2978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-14",
"last_updated": "2025-05-14",
"certification_date": "2025-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "SC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
- Lydia Celestine Bailey-Padgett
- Abigail Suzanne Bailey
- Adam Scott Bailey
- Asha Lenora Bailey
- Clayton Ray Bailey
- Joseph Martin Bailey
- Lashawnda Bailey
- Lauren Bailey
- Lauri Lynn Bailey
- Lucy Leigh Bailey
All providers in Columbia, SC · Behavior Technician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.