Maureen Anderson, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-23-285641

Practice address

204 Wilson Ave
Port Monmouth, NJ 07758-1228

Phone

(848) 757-2123

NPI assigned

Sep 20, 2023

Last updated

Apr 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713657600000",
    "number": "1194503128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 WILSON AVE",
            "city": "PORT MONMOUTH",
            "state": "NJ",
            "postal_code": "077581228",
            "telephone_number": "848-757-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 WILSON AVE",
            "city": "PORT MONMOUTH",
            "state": "NJ",
            "postal_code": "077581228",
            "telephone_number": "848-757-2123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Appleton Ave",
            "address_purpose": "LOCATION",
            "city": "Leonardo",
            "state": "NJ",
            "postal_code": "077371232",
            "country_code": "US",
            "telephone_number": "848-757-2123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MAUREEN",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-20",
        "last_updated": "2024-04-21",
        "certification_date": "2024-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-23-285641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Mindful Paws for Youth LLC
• Christine Andreotti Bennett, L.P.C.
• Leeann Rose Bennett
• George Richard Bulger, DROT, OTR/L
• Center for Family Support, New Jersey, Inc.
• Community Options, Inc.

• Behavior Technician in Port Monmouth, NJ
• Providers in Port Monmouth, NJ by specialty
• Behavior Technician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2024; 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.