Community Behavior Consulting, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-08-4393 Issued in FL

Legal business name

COMMUNITY BEHAVIOR CONSULTING, LLC

Practice address

364 Beechspring Rd
South Orange, NJ 07079-1512

Phone

(973) 444-3304

NPI assigned

Aug 1, 2016

Last updated

Aug 1, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

COMMUNITY BEHAVIOR CONSULTINGAs reported in NPPES

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

Authorized official

Name

Mr. Jeffrey Jacobs, MANPI 1619281029

Title

Owner

Phone

(973) 444-3304

Specialties & licenses 1

Addresses

Part of

Community Behavior Consulting LLC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Jacobs, MA, BCBA

  • Behavior Analyst
  • South Orange, NJ
  • NPI 1619281029
  Authorized official Same address or phone

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470009600000",
    "number": "1073066536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 BEECHSPRING RD",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070791512",
            "telephone_number": "973-444-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 BEECHSPRING RD",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070791512",
            "telephone_number": "973-444-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY BEHAVIOR CONSULTING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY BEHAVIOR CONSULTING",
        "enumeration_date": "2016-08-01",
        "last_updated": "2016-08-01",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-444-3304",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-08-4393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in South Orange, NJ
• Providers in South Orange, NJ by specialty
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; 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.