Individual provider Active NPI

Elizabeth Ann Jenks, BCBA

  • Behavior Analyst
  • Charlotte, NC
National Provider Identifier
1982180253
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
124 Issued in NC
Practice address
2132 Ayrsley Town Blvd
Charlotte, NC 28273-3568
Phone
(980) 785-1113
Fax
(980) 785-1114
NPI assigned
Jul 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 124 NC Primary

Addresses

Primary practice location

2132 Ayrsley Town Blvd
Charlotte, NC 28273-3568

Mailing address

2620 Celanese Rd
Rock Hill, SC 29732-3485
Phone (910) 544-5500

Other practice location 1

150 Linden Ave
Lynchburg, VA 24503-2010
Phone (434) 525-4790

Other practice location 2

2685 Celanese Rd Ste 123
Rock Hill, SC 29732-2992
Phone (910) 544-5500

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

LicenseStateTypeSpecialty
0134000171VAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1982180253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 CELANESE RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323485",
            "telephone_number": "910-544-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 AYRSLEY TOWN BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282733568",
            "telephone_number": "980-785-1113",
            "fax_number": "980-785-1114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Linden Ave",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245032010",
            "country_code": "US",
            "telephone_number": "434-525-4790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2685 Celanese Rd Ste 123",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297322992",
            "country_code": "US",
            "telephone_number": "910-544-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKS",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.