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NPI 1245976687ActiveIndividual· Behavior Analyst· Jersey City, NJ
Behavior Analyst in Jersey City, New Jersey, licensed in MN, NJ and NY, with an NPI issued in May 2022.
Overview
| NPI | 1245976687 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | May 9, 2022 |
| Last updated in NPPES | Sep 15, 2026 |
| Certified by provider | Sep 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X | LBA0676 | MN |
| Behavior Analyst | 103K00000X | 15BC00414900 | NJ |
| Behavior Analyst | 103K00000X | 005091 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 70 behavior analysts in Jersey City · All behavior analysts in New Jersey