MS. JENNIFER MICHELLE DETHERAGE MS, BCBA
NPI 1508325135
Behavior Analyst in Fayetteville, GA
NPI Status: Active since March 13, 2019
Contact Information
126 PAVILION PKWY
FAYETTEVILLE, GA
ZIP 30214
Phone: (770) 954-8988
Fax: (317) 520-8200
- Individual
- Female
- Behavior Analyst
- Accepts Insurance
About JENNIFER DETHERAGE
This page provides the complete NPI Profile along with additional information for Jennifer Detherage, a provider established in Fayetteville, Georgia with a medical specialization in Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1508325135 assigned on March 2019. The practitioner's primary taxonomy code is 103K00000X with license number 1-20-44609 (GA). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1508325135
- Provider Name
- MS. JENNIFER MICHELLE DETHERAGE MS, BCBA
- Other Name
- JENNIFER MICHELLE WOMACK MS, BCBA
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 126 PAVILION PKWY FAYETTEVILLE, GA 30214
- Location Phone
- (770) 954-8988
- Location Fax
- (317) 520-8200
- Mailing Address
- 3500 DEPAUW BLVD STE 3070 INDIANAPOLIS, IN 46268
- Mailing Phone
- (855) 324-0885
- Mailing Fax
- (317) 520-8200
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-13-2019
- Last Update Date
- 08-11-2025
- Code Navigator
Location Map
Secondary Locations
- 3372 Peachtree Rd NE Ste 115
Atlanta, GA 30326
(404) 891-1880
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Behavior Analyst
- Taxonomy Code
- 103K00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 1-20-44609
- License State
- GA
- Taxonomy Description
- A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- SoloCare Bronze EPO $8500 DED HSA 10004 - EPO
- SoloCare Exp Bronze EPO $9500 DED 10015 - EPO
- SoloCare Gold EPO $1500 DED 10010 - EPO
- SoloCare Silver EPO $5000 DED 10014 - EPO
- SoloCare Silver EPO $6500 DED 10013 - EPO
- SoloCare Standard Exp Bronze EPO $7500 DED 10008 - EPO
- SoloCare Standard Gold EPO $2000 DED 10006 - EPO
- SoloCare Standard Platinum EPO $0 DED 10005 - EPO
- SoloCare Standard Silver EPO $6000 DED 10007 - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1508325135, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
FAYETTEVILLE, GA 30214
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508325135, enumerated as an "individual" on March 13, 2019.
The provider is located at 126 PAVILION PKWY FAYETTEVILLE, GA 30214 and the phone number is (770) 954-8988.
Behavior Analyst with taxonomy code 103K00000X.
The provider might be accepting Accepts: Alliant Health Plans, Inc.. Please consult your insurance carrier or call the provider to verify.
