Active NPI
Mary Katherine Corbisiero
- Behavior Analyst
- Edison, NJ
National Provider Identifier
1083315840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 15BC00113600
- Practice address
- 2163 Oak Tree Rd Ste 200
Edison, NJ 08820-1084 - Phone
- (877) 880-2609
- NPI assigned
- Mar 16, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 15BC00113600 | NJ | Primary |
| Behavior Analyst | 103K00000X | |||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
2163 Oak Tree Rd Ste 200
Edison, NJ 08820-1084
Mailing address
542 Amherst St Ste B
Nashua, NH 03063-1016
Other practice location 1
6 Wolcott Dr
Millstone Twp, NJ 08510-7918
Phone (732) 343-0590
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15BC00113600 | NJ | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ABA Centers of New Jersey 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 and National Provider Directory roles.
-
- Behavior Analyst
- Bridgewater, NJ
- NPI 1750091724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763683200000",
"number": "1083315840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "542 AMHERST ST STE B",
"city": "NASHUA",
"state": "NH",
"postal_code": "030631016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2163 OAK TREE RD STE 200",
"city": "EDISON",
"state": "NJ",
"postal_code": "088201084",
"telephone_number": "877-880-2609"
}
],
"practiceLocations": [
{
"address_1": "6 Wolcott Dr",
"address_purpose": "LOCATION",
"city": "Millstone Twp",
"state": "NJ",
"postal_code": "085107918",
"country_code": "US",
"telephone_number": "732-343-0590",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORBISIERO",
"first_name": "MARY KATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-16",
"last_updated": "2025-11-21",
"certification_date": "2025-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NJ",
"license": "15BC00113600",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.