Healthcare Provider Details

I. General information

NPI: 1265207260
Provider Name (Legal Business Name): JE'VON HOWARD ROBINSON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2023
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 NC-54 STE 240, 360
DURHAM NC
27713
US

IV. Provider business mailing address

920 NC-54 STE 240, 360
DURHAM NC
27713
US

V. Phone/Fax

Practice location:
  • Phone: 919-378-1340
  • Fax:
Mailing address:
  • Phone: 919-378-1340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number3944
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: