Jennifer Lynn Cheselka, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-13-13838 Issued in NJ

Practice address

23 Brooks Ave
Rochelle Park, NJ 07662-3716

Phone

(551) 486-2440

NPI assigned

Mar 9, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lighthouse ABA Therapy

  • Behavior Analyst
  • Cliffside PK, NJ
  • NPI 1346957818
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520553600000",
    "number": "1013410604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 BROOKS AVE",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076623716",
            "telephone_number": "551-486-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 BROOKS AVE",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076623716",
            "telephone_number": "551-486-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESELKA",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-09",
        "last_updated": "2018-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-13-13838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Causene, LCSW
• CBT Specialists of New Jersey LLC
• Center of Revitalizing Psychiatry, P.C.
• James Chan, DO
• Huazhen Chen, M.D.
• CHI Family Medical Health & Wellness P.a
• Yekaterina Chizhova
• Jaehoon Chung, M.D.
• Stephen J Conte, DO
• Copeland Counseling

• All providers in Rochelle Park, NJ
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.