Jennifer Detherage, MS, BCBA
NPI 1508325135 · Behavior Analyst · Fayetteville, GA
Jennifer Detherage, MS, BCBA is a Behavior Analyst provider in Fayetteville, GA (NPI 1508325135).
Provider details
- NPI number
- 1508325135
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- MS, BCBA
- Sex
- Female
- Sole proprietor
- No
- License
- 1-20-44609 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 3372 Peachtree Rd Ne Ste 115Atlanta, GA 30326-1963Phone: (404) 891-1880
Registry dates
- Enumerated
- 2019-03-13
- Last updated
- 2025-08-11
- Certified
- 2025-08-11
Frequently asked questions
- What is Jennifer Detherage's NPI number?
- Jennifer Detherage's National Provider Identifier (NPI) is 1508325135, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Detherage's specialty?
- Jennifer Detherage is listed in the NPPES registry with a primary specialty of Behavior Analyst (Behavioral Health & Social Service Providers).
- Where is Jennifer Detherage located?
- Jennifer Detherage's practice location on file with NPPES is 126 Pavilion Pkwy, Fayetteville, GA 30214-4056.
- What is Jennifer Detherage's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Detherage is (770) 954-8988.
- Is Jennifer Detherage's NPI active?
- Yes — Jennifer Detherage's NPI (1508325135) is active in the NPPES registry as of the last update on 2025-08-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.