MEDICARE: DEJA PURDIE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1730047945
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEJA PURDIE

Provider Business Mailing Address
First Line	:	2919 BREEZEWOOD AVE STE 202
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28303-5283
Country	:	US
Telephone Number	:	910-263-8986
Fax Number	:	901-401-1771

Provider Business Practice Location Address
First Line	:	2919 BREEZEWOOD AVE STE 202
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28303-5283
Country	:	US
Telephone Number	:	910-263-8986
Fax Number	:	901-401-1771

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

Similar Medicare Providers

1689532806 — ERIKA MCDONALD
Practice Location Address:

2919 BREEZEWOOD AVE STE 202
FAYETTEVILLE, NC
28303-5283

Practice Phone: 910-263-8986
Practice Fax: 910-401-1771

1619175924 — DR. RHUNELLE MURRAY MD
Practice Location Address:

2919 BREEZEWOOD AVE STE 201
FAYETTEVILLE, NC
28303-5283

Practice Phone: 910-294-6954
Practice Fax:

1669640603 — SHANNEL PICKENS MS, CCC-SLP
Practice Location Address:

2919 BREEZEWOOD AVE STE 101
FAYETTEVILLE, NC
28303-5283

Practice Phone: 910-484-1711
Practice Fax:

1023487220 — ERIN PATRICIA PARKER MS, OTR/L
Practice Location Address:

2919 BREEZEWOOD AVE STE 100
FAYETTEVILLE, NC
28303-5283

Practice Phone: 910-484-1685
Practice Fax:

1033622634 — CRISTINA AUTRY
Practice Location Address:

2919 BREEZEWOOD AVE STE 101
FAYETTEVILLE, NC
28303-5283

Practice Phone: 910-484-1711
Practice Fax:

1093201352 — MS. JESSICA A BROWN BCBA
Practice Location Address:

2919 BREEZEWOOD AVE STE 202
FAYETTEVILLE, NC
28303-5283

Practice Phone: 910-484-1711
Practice Fax:

Directions to “ DEJA PURDIE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.