Individual
JERMAINE SHANTA FEREBEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 VALENCIA DR, JACKSONVILLE, NC 28546-6311
(252) 341-4192
Mailing address
308 GREENVILLE BLVD SE STE B1, GREENVILLE, NC 27858-5758
(252) 341-4192
(866) 309-9297
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-48283
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
12/27/2012
Last updated
03/17/2021
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