Jermaine Shanta Ferebee
Behavior Analyst in Jacksonville, NC. Individual provider (NPI-1).
NPI number1174869887
StatusActive
Last updated in NPPESMar 17, 2021
Details
- NPI
- 1174869887
- Entity type
- Individual (NPI-1)
- Name
- Jermaine Shanta Ferebee
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 27, 2012
- Certification date
- Mar 17, 2021
- Last updated
- Mar 17, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-21-48283 | – | Yes |
| 222Q00000X | Developmental Therapist | – | – |
Practice location
200 Valencia DrJacksonville, NC 28546-6311
Phone 252-341-4192
Mailing address
308 Greenville Blvd Se Ste B1Greenville, NC 27858-5758
Phone 252-341-4192 · Fax 866-309-9297
Other practice locations
308 Greenville Blvd Se Ste B1
Greenville, NC 27858-5758
Greenville, NC 27858-5758
Phone 252-341-4192 · Fax 866-309-9297
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