Brian Scott McConnell, BCABA

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

0-11-4166

Practice address

1000 Crawford PL Ste 260
Mount Laurel, NJ 08054-3965

Phone

(856) 628-1686

NPI assigned

Jun 14, 2012

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1124380142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2271 LINDEN AVE",
            "city": "ATCO",
            "state": "NJ",
            "postal_code": "080041210",
            "telephone_number": "609-617-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CRAWFORD PL STE 260",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543965",
            "telephone_number": "856-628-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "BRIAN",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "BCABA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-14",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": "0-11-4166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleanor M. Mayfield, LPC
• Elina Maymind Denenberg, M.D.
• Tina Maria Mazzocca, LCSW
• Christopher McBride
• Danielle McCall, MSW LCSW
• Louis L McCord
• Erin Lynn McCormick-Kelly, NP
• Stacy A McCrosson, M.D.
• Kristen McCullen, MD
• Joan McCusker, RBT

• All providers in Mount Laurel, NJ
• Assistant Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.