Active NPI
Emily Louise Ducoin, BCBA
- Behavior Analyst
- Magnolia, NJ
National Provider Identifier
1083254635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-19-36222
- Practice address
- 412 W Adams Ave
Magnolia, NJ 08049-1710 - Phone
- (856) 630-1818
- NPI assigned
- Jan 12, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-19-36222 | NJ | Primary |
Addresses
Primary practice location
412 W Adams Ave
Magnolia, NJ 08049-1710
Mailing address
412 W Adams Ave
Magnolia, NJ 08049-1710
Phone (856) 630-1818
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698883200000",
"number": "1083254635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 W ADAMS AVE",
"city": "MAGNOLIA",
"state": "NJ",
"postal_code": "080491710",
"telephone_number": "856-630-1818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 W ADAMS AVE",
"city": "MAGNOLIA",
"state": "NJ",
"postal_code": "080491710",
"telephone_number": "856-630-1818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUCOIN",
"first_name": "EMILY",
"middle_name": "LOUISE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-12",
"last_updated": "2023-11-02",
"certification_date": "2023-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NJ",
"license": "1-19-36222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Magnolia, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.