Kelli Anne De Rosa, M.A., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-10-7597 Issued in NJ

Practice address

25 Potash Rd
Oakland, NJ 07436-1612

Phone

(201) 644-0760

NPI assigned

Apr 5, 2011

Last updated

Apr 5, 2012By 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

Credentials

Master of Arts

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.

• Reed Academy

  • Behavior Analyst
  • Oakland, NJ
  • NPI 1669739611
  Authorized official Same address or phone

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1326337957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 POTASH RD",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074361612",
            "telephone_number": "201-644-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 POTASH RD",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074361612",
            "telephone_number": "201-644-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE ROSA",
        "first_name": "KELLI",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "M.A., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-05",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-10-7597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diego L Coira, MD
• Colors of Play, LLC
• Edward Leo Connolly, PH.D.
• Charles S Corallo, D.C.
• Rebecca Crespo
• Bryan Del Rio, P.T.
• Robert Saladaga Delagente, DO
• Meghan Deperi
• Ashley Rinaldi Dettra, MSN, RN, CCRN, NP-C
• Benjamin R Dispenziere, MD

• Behavior Analyst in Oakland, NJ
• Providers in Oakland, 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 Apr 5, 2012; 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.