Kendall Juliette Bacskoczky, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-43525 Issued in NJ

Practice address

3425 US Highway 9
Freehold, NJ 07728-3554

Phone

(732) 994-7899

NPI assigned

Aug 3, 2020

Last updated

Aug 3, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Locations

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.

• KB-ABA

  • Behavior Analyst
  • Old Bridge, NJ
  • NPI 1295516722
  NPD Authorized official
• Behavioral Momentum LLC

  dba Th Puzzle Place

  • Behavior Analyst
  • Freehold, NJ
  • NPI 1063048346
  NPD
• The Puzzle Place LLC

  • Behavior Analyst
  • Freehold, NJ
  • NPI 1093115073
  NPD

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1073123253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 RED BANK RD",
            "city": "SPOTSWOOD",
            "state": "NJ",
            "postal_code": "088841760",
            "telephone_number": "732-425-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 US HIGHWAY 9",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077283554",
            "telephone_number": "732-994-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACSKOCZKY",
        "first_name": "KENDALL",
        "middle_name": "JULIETTE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-20-43525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Ayoub, PSYD
• Sneha Babu, O.D.
• Kimberly Bachmann, SLP-CCC
• Norman A Back, MD
• Back, Seigel & Goldstein, MD , PA
• Maria Ann Bailey, PA-C
• Jayson Bajamunde, PT
• Bhavesh Vasant Balar, MD
• Dhimant Jitendra Balar, D.O.
• Enza Balestrieri

• Behavior Analyst in Freehold, NJ
• Providers in Freehold, 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 3, 2020; 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.