MIRAE JESSUP
NPI 1104700723
Behavior Technician in Fayetteville, NC
About Mirae Jessup NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIRAE JESSUP (NPI 1104700723) is an individual behavior technician in Fayetteville, North Carolina and active in the NPI registry since August 2025.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mirae Jessup's NPI number?
The NPI number for Mirae Jessup is 1104700723. It was assigned to this individual provider in the NPPES registry on August 5, 2025.
Where is Mirae Jessup located?
Mirae Jessup practices at 920 Cambridge St, Fayetteville, NC 28303. The listed phone number is (910) 493-3555.
What is Mirae Jessup's specialty?
The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.
When was this NPI record last updated?
The NPPES record for Mirae Jessup was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.