Active NPI
Danielle Haines
- Behavior Technician
- Jacksonville, NC
National Provider Identifier
1912465352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-19-80355
- Practice address
- 2444 Commerce Rd Ste 215
Jacksonville, NC 28546-7560 - Phone
- (615) 294-1221
- Fax
- (910) 327-2716
- NPI assigned
- Mar 5, 2019
- Sex
- Female
- Sole proprietor
- Yes
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-19-80355 | FL | Primary |
Addresses
Primary practice location
2444 Commerce Rd Ste 215
Jacksonville, NC 28546-7560
Mailing address
11406 Lyndenwood CT
Chesterfield, VA 23838-5263
Phone (615) 294-1221
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-19-80355 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551744000000",
"number": "1912465352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11406 LYNDENWOOD CT",
"city": "CHESTERFIELD",
"state": "VA",
"postal_code": "238385263",
"telephone_number": "615-294-1221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2444 COMMERCE RD STE 215",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285467560",
"telephone_number": "615-294-1221",
"fax_number": "910-327-2716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAINES",
"first_name": "DANIELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-05",
"last_updated": "2019-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-19-80355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.