Healthcare Provider Details

I. General information

NPI: 1982177663
Provider Name (Legal Business Name): FELICIA MARIA JABS MA, BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2019
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 MOCKSVILLE AVE
SALISBURY NC
28144-2740
US

IV. Provider business mailing address

400 MOCKSVILLE AVE
SALISBURY NC
28144-2740
US

V. Phone/Fax

Practice location:
  • Phone: 980-304-6415
  • Fax:
Mailing address:
  • Phone: 980-304-6415
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number2000
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: