Healthcare Provider Details

I. General information

NPI: 1326975996
Provider Name (Legal Business Name): ROOTED BEHAVIORAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1951 BILLINGS HILL CHURCH RD
TRAPHILL NC
28685-9113
US

IV. Provider business mailing address

1951 BILLINGS HILL CHURCH RD
TRAPHILL NC
28685-9113
US

V. Phone/Fax

Practice location:
  • Phone: 571-356-4214
  • Fax:
Mailing address:
  • Phone: 571-356-4214
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MR. JONATHAN CLAUDE WEEDON II
Title or Position: OWNER/BCBA
Credential: M.S., LBA, BCBA
Phone: 571-356-4214