IndividualActive
Maranda Jack
NPI 1215617808 · Behavior Technician · Fayetteville, NC
Maranda Jack is a Behavior Technician provider in Fayetteville, NC (NPI 1215617808).
Provider details
- NPI number
- 1215617808
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- RBT-23-284094 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
568 Sandhurst Dr
Fayetteville, NC 28304-4426
Phone: (910) 484-1711
Street-level locationGet directions
Mailing address
2919 Breezewood Ave Ste 101
Fayetteville, NC 28303-5283
Registry dates
- Enumerated
- 2023-07-19
- Last updated
- 2023-07-19
- Certified
- 2023-07-19
Frequently asked questions
- What is Maranda Jack's NPI number?
- Maranda Jack's National Provider Identifier (NPI) is 1215617808, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Maranda Jack's specialty?
- Maranda Jack is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Maranda Jack located?
- Maranda Jack's practice location on file with NPPES is 568 Sandhurst Dr, Fayetteville, NC 28304-4426.
- What is Maranda Jack's phone number?
- The practice phone number listed in the NPPES registry for Maranda Jack is (910) 484-1711.
- Is Maranda Jack's NPI active?
- Yes — Maranda Jack's NPI (1215617808) is active in the NPPES registry as of the last update on 2023-07-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.