Chelsea E. McDuffie-Jackson, RBT
Behavior Technician in Fayetteville, NC. Individual provider (NPI-1).
NPI number1760163554
StatusActive
Last updated in NPPESJul 26, 2023
Details
- NPI
- 1760163554
- Entity type
- Individual (NPI-1)
- Name
- Chelsea E. McDuffie-Jackson
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2023
- Certification date
- Jul 26, 2023
- Last updated
- Jul 26, 2023
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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
351 Wagoner Dr Ste 325Fayetteville, NC 28303-4674
Phone 910-491-0061
Mailing address
351 Wagoner Dr Ste 325Fayetteville, NC 28303-4674
Phone 910-491-0061
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.
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