Adelyn Grace Jernigan, BEHAVIOR TECHNICIAN

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

105 White Pines Dr
Alpharetta, GA 30004-5658

Phone

(808) 429-2893

NPI assigned

Oct 5, 2022

Sex

Female

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Akamai Resource and Therapy, LLC

  • Behavior Analyst
  • Alpharetta, GA
  • NPI 1871241893

  Behavior Technician

  NPD

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1861117665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WHITE PINES DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300045658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WHITE PINES DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300045658",
            "telephone_number": "808-429-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERNIGAN",
        "first_name": "ADELYN",
        "middle_name": "GRACE",
        "credential": "BEHAVIOR TECHNICIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seoung R Jee, PH.D., L..AC
• Ramprasad Jegadeesan, M.D
• Raven Eboni Jenerson, LICSW
• Ian Parker Jennings, DO
• Shivani Jerath, MD
• Jason Jerusik, PHARMD
• Grisel Eneris Jimenez, M.D.
• Natasha Jivani, PA-C
• Taniya Jiwani
• Jke Enterprises LLC

• Behavior Technician in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.

Verify at the official NPI Registry.