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Jessica Jolie Bryson

Behavior Technician in Wilmington, NC. Individual provider (NPI-1).

NPI number1043030133
StatusActive
Last updated in NPPESOct 14, 2024

Details

NPI
1043030133
Entity type
Individual (NPI-1)
Name
Jessica Jolie Bryson
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 14, 2024
Certification date
Oct 14, 2024
Last updated
Oct 14, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

500 Military Cutoff Rd
Wilmington, NC 28405-9737

Phone 910-392-0080

Mailing address

500 Military Cutoff Rd
Wilmington, NC 28405-9737

Phone 910-392-0080

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Behavior Technician providers in Wilmington, NC

All 384 Behavior Technician providers in Wilmington · All 8,790 providers in Wilmington

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