Individual provider Active NPI

Elizabeth Ann Mrozowicz, BCBA-D

  • Behavior Analyst
  • Jersey City, NJ
National Provider Identifier
1295436574
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-04-1738 Issued in MO
Practice address
120 Seaview Ave
Jersey City, NJ 07305-2411
Phone
(201) 434-4240
Fax
(201) 946-4240
NPI assigned
Mar 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-04-1738 MO Primary

Addresses

Primary practice location

120 Seaview Ave
Jersey City, NJ 07305-2411

Mailing address

120 Seaview Ave
Jersey City, NJ 07305-2411
Phone (201) 434-4240

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
Intense Behavioral Services LLC Behavior Analyst PastSince Mar 19, 2023 Accepting new patients

Organizations & group practices 1

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": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1295436574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SEAVIEW AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073052411",
            "telephone_number": "201-434-4240",
            "fax_number": "201-946-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SEAVIEW AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073052411",
            "telephone_number": "201-434-4240",
            "fax_number": "201-946-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MROZOWICZ",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "BCBA-D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "1-04-1738",
            "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 Mar 14, 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.