Jennifer Michelle Detherage, MS, BCBA
Behavior Analyst · Fayetteville, GA
Jennifer Michelle Detherage, MS, BCBA is a behavior analyst with a practice address in Fayetteville, Georgia, and NPI 1508325135, issued on Mar 13, 2019. Check the license (Georgia 1-20-44609, as entered in NPPES) with the Georgia board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Jennifer Michelle Detherage
- Credential
- MS, BCBA
- Primary taxonomy
- Behavior Analyst 103K00000X
- License number
- 1-20-44609 GA
Self-reported in NPPES; status is on the state search - Practice location
- 126 Pavilion Pkwy, Fayetteville, GA 30214
- Phone
- (770) 954-8988
- Enumerated
- Mar 13, 2019
- Record last updated
- Aug 11, 2025
- Fax
- (317) 520-8200
- Entity
- Type 1 · individual
Also registered at 126 Pavilion Pkwy
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Reginald Anderson, RBT, BSBehavior Technician1154921880
- Janice Atuahene, RBTBehavior Technician1730950247
- Alisha Bailey, RBTBehavior Technician1043988876
- Elizabeth Baker, RBTBehavior Technician1477131522
Verify Jennifer Michelle Detherage in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Georgia board licenses this profession
Search for license 1-20-44609Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
32 behavior analyst records list a practice address in Fayetteville
They are 32 of the 1,527 NPPES records with a practice address in Fayetteville, and 2,708 behavior analyst records in Georgia. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 32 in Fayetteville → All 2,708 in Georgia → Every provider in Fayetteville →
Other behavior analyst records in Georgia
- Mackenzie Aaron, MS, BCBACumming, GA1568226892
- Brandy Aaron-EimickeAugusta, GA1366022170
- Maha AbdallaAugusta, GA1972266518
- Kawther Abdelkhalek, BCBACanton, GA1710565627
- Megan Abercrombie, BCBAWoodstock, GA1669064002
- Tineisha AbonyAtlanta, GA1851908735
- Kelly Abrams, M.ED., BCBAAtlanta, GA1356161251
- Jennifer Abrom, BCBAMarietta, GA1164839106
- Andre Accardo, BCBADecatur, GA1619566270
- Stefanie Achii, BCBADecatur, GA1184430506
Common questions
What is Jennifer Michelle Detherage, MS, BCBA's NPI number?
Jennifer Michelle Detherage, MS, BCBA's National Provider Identifier (NPI) is 1508325135, issued on Mar 13, 2019. An NPI identifies a provider in billing; it is not a license.
Where is Jennifer Michelle Detherage, MS, BCBA located?
The NPPES record lists a practice address at 126 Pavilion Pkwy, Fayetteville, GA, 30214. Phone: (770) 954-8988. Providers update this record themselves, so call before visiting.
How can I verify Jennifer Michelle Detherage, MS, BCBA's license?
NPPES lists Georgia license number 1-20-44609, as entered by the provider. Search the Georgia board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.