Individual provider Active NPI

Shelly Yusko, BSC, MADS, BCBA, LBA

  • Behavior Analyst
  • Jersey City, NJ
National Provider Identifier
1194294892
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
001663 Issued in NY
Practice address
235 Grand St
Jersey City, NJ 07302-4767
Phone
(201) 892-0520
NPI assigned
Nov 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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 001663 NY Primary

Addresses

Primary practice location

235 Grand St
Jersey City, NJ 07302-4767

Mailing address

235 Grand St
Jersey City, NJ 07302-4767
Phone (201) 892-0520

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

LicenseStateTypeSpecialty
001663NYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
DH Salsberg Licensed Psychologist PC PastSince Nov 1, 2022 Accepting new patients
Build N Care Therapy Behavior Analyst Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1194294892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 GRAND ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073024767",
            "telephone_number": "201-892-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 GRAND ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073024767",
            "telephone_number": "201-892-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUSKO",
        "first_name": "SHELLY",
        "credential": "BSC, MADS, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-26",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "001663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.