MARANDA JACK
NPI 1215617808
Behavior Technician in Fayetteville, NC

Active since July 19, 2023
568 SANDHURST DR, FAYETTEVILLE, NC 28304(910) 484-1711 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Maranda Jack NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARANDA JACK (NPI 1215617808) is an individual behavior technician in Fayetteville, North Carolina, licensed in North Carolina (RBT-23-284094) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1215617808
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameMARANDA JACK
Location Address568 SANDHURST DRFayetteville, NC 28304-4426
Mailing Address2919 Breezewood Ave Ste 101Fayetteville, NC 28303-5283 · (910) 484-1711
Sole ProprietorYes
Enumeration DateJuly 19, 2023
NPPES CertifiedJuly 19, 2023
NPI 1215617808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed in NC · RBT-23-284094
Definition

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

568 SANDHURST DR, Fayetteville, NC 28304

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.

Assistant Behavior Analyst
568 SANDHURST DR
FAYETTEVILLE, NC 28304
Behavior Technician
568 SANDHURST DR
FAYETTEVILLE, NC 28304
Behavior Technician
568 SANDHURST DR
FAYETTEVILLE, NC 28304
Behavior Technician
568 SANDHURST DR
FAYETTEVILLE, NC 28304
Behavior Technician
568 SANDHURST DR
FAYETTEVILLE, NC 28304
Behavior Technician
568 SANDHURST DR
FAYETTEVILLE, NC 28304
Behavior Analyst
568 SANDHURST DR
FAYETTEVILLE, NC 28304
Behavior Technician
568 SANDHURST DR
FAYETTEVILLE, NC 28304

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215617808, enumerated as an "individual" on July 19, 2023.

The provider is located at 568 SANDHURST DR FAYETTEVILLE, NC 28304 and the phone number is (910) 484-1711.

Behavior Technician with taxonomy code 106S00000X.