Individual provider Active NPI

Jessica Smith, BCBA

  • Behavior Analyst
  • Livingston, NJ
National Provider Identifier
1063045896
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-22-58033 Issued in NJ
Practice address
7 Regent St Ste 711
Livingston, NJ 07039-1628
Phone
(551) 300-1526
NPI assigned
Feb 20, 2020
Last updated
Jul 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-22-58033 NJ Primary
Assistant Behavior Analyst 106E00000X 0-20-10738 NJ

Addresses

Primary practice location

7 Regent St Ste 711
Livingston, NJ 07039-1628

Mailing address

7 Regent St Ste 711
Livingston, NJ 07039-1628

Other practice location 1

39 US Highway 46 Ste 804
Pine Brook, NJ 07058-8602
Phone (551) 300-1526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate ABA & Therapeutic Services LLC Behavior Analyst Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1063045896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 REGENT ST STE 711",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070391628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 REGENT ST STE 711",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070391628",
            "telephone_number": "551-300-1526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39 US Highway 46 Ste 804",
            "address_purpose": "LOCATION",
            "city": "Pine Brook",
            "state": "NJ",
            "postal_code": "070588602",
            "country_code": "US",
            "telephone_number": "551-300-1526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JESSICA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-22-58033",
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NJ",
            "license": "0-20-10738",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.