Anna Mokrzecki, BCBA, LPC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-15-19248 Issued in NJ

Practice address

10 Dartmouth Dr
Jackson, NJ 08527-2309

Phone

(732) 674-4599

NPI assigned

Aug 18, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1144696733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DARTMOUTH DR",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272309",
            "telephone_number": "732-674-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DARTMOUTH DR",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272309",
            "telephone_number": "732-674-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOKRZECKI",
        "first_name": "ANNA",
        "name_prefix": "Mrs.",
        "credential": "BCBA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00510600",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-15-19248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Jackson, NJ
• Providers in Jackson, NJ by specialty
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.