Individual provider Active NPI

Gabrielle Christine Centra-Taylor, BCBA

  • Behavior Analyst
  • Hasbrouck Heights, NJ
National Provider Identifier
1124590344
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-32054 Issued in NJ
Practice address
611 US Highway 46 W Ste 302
Hasbrouck Heights, NJ 07604-3120
Phone
(201) 870-4467
NPI assigned
Dec 28, 2018
Last updated
Oct 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-18-32054 NJ Primary

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

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rainbow Applied Behavior Analysis Ny PLLC Behavior Analyst PastSince Oct 13, 2024 Accepting new patients
Rainbow ABA Therapy LLC Behavior Analyst PastSince Jun 1, 2022 Accepting new patients
Rainbow ABA LLC PastSince Feb 12, 2023 Accepting new patients
Blossom ABA Therapy PastSince Jun 12, 2022 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1124590344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 STANTON ST",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070653121",
            "telephone_number": "732-439-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 US HIGHWAY 46 W STE 302",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076043120",
            "telephone_number": "201-870-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENTRA-TAYLOR",
        "first_name": "GABRIELLE",
        "middle_name": "CHRISTINE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-28",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-18-32054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hasbrouck Heights, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.