Active NPI
Elizabeth Ann Jenks, BCBA
- Behavior Analyst
- Charlotte, NC
National Provider Identifier
1982180253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 124
- 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
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 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0134000171 | VA | MD | Behavioral 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.