Gabrielle Christine Centra-Taylor, BCBA
Individual provider Active NPI Behavior Analyst · Hasbrouck Heights, NJ
NPI 1124590344 · NPPES record last updated Oct 29, 2021
Key facts
- NPI
- 1124590344
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-18-32054 (NJ)
- Practice address
- 611 US Highway 46 W Ste 302
Hasbrouck Heights, NJ 07604-3120 - Phone
- (201) 870-4467
- NPI assigned
- Dec 28, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blossom ABA Therapy | Past |
Accepting new patients | |
| Rainbow ABA Therapy LLC | Behavior Analyst | Past |
Accepting new patients |
| Rainbow ABA LLC | Past |
Accepting new patients | |
| Rainbow Applied Behavior Analysis Ny PLLC | Behavior Analyst | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-18-32054 | NJ | Yes |
Addresses
Primary practice location
611 US Highway 46 W Ste 302
Hasbrouck Heights, NJ 07604-3120
Mailing address
153 Stanton St
Rahway, NJ 07065-3121
Phone (732) 439-1155
Other providers in Hasbrouck Heights, NJ
- Jamie L Cameron
- Julie Canavatchel
- Cara Ann Capasso-Murray
- Cardiovascular Consultants of North Jersey
- Daniella Marie Castellanos
- Anat Chemerinski
- Marissa Chizmadia
- Michael Ming-Huei Cho
- Joyce Chong
- Clarity Autism Center for Diagnostic Evaluations LLC
All providers in Hasbrouck Heights, NJ · Behavior Analyst in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.