NPI age
7 years
Enumerated 2019-03-13
● Active
Type 1 · Individual
MS. Jennifer Michelle Detherage, MS, BCBA
Detherage is 1 of 35 behavior analyst providers in Fayetteville and 1 of 3228 in Georgia.
Primary specialty
Behavior Analyst
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-08-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 3228 active behavior analyst providers in Georgia.
NPI age
7 years
↑ 2 yr above median (5 yr)
State licenses
1 state
3% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties
NPI lifetime · 2019 → 2026
2019-03Enumerated in NPPES
2019
2026
Where they practice
Practice location
126 Pavilion Pkwy
Fayetteville, GA 302144056
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 462686135
Additional practice locations
1 secondary location on file with NPPES.
Location 2
3372 Peachtree Rd Ne Ste 115
Atlanta, GA 303261963
Specialties
-
Behavior Analyst PrimaryA behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts...
Practice context
Part of a multi-provider practice. 117 other active providers share this practice address in NPPES.
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