Active NPI
Elizabeth A Demarco, BCBA
- Behavior Analyst
- Aberdeen, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-22-59936
- Practice address
- 1 Woodbrook Dr
Aberdeen, NJ 07747-1901 - Phone
- (732) 682-6645
- NPI assigned
- Jun 22, 2022
- Last updated
- Jun 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-22-59936 | NU | Primary |
Addresses
Primary practice location
1 Woodbrook Dr
Aberdeen, NJ 07747-1901
Mailing address
204 Wilson Ave
Port Monmouth, NJ 07758-1228
Phone (732) 682-6645
Other practice location 1
204 Wilson Ave
Port Monmouth, NJ 07758-1228
Phone (732) 682-6645
Other practice location 2
45 Appleton Ave
Leonardo, NJ 07737-1232
Phone (732) 682-6645
Other practice location 3
405 State Highway 36, Port Monmouth, NJ, USA
PortMonmouth, NJ 07758-0775
Phone (848) 757-2123
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | MMLCfamily.com | Direct |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minding Miracles Learning Center | Behavior Analyst | Current | Accepting new patients |
Locations
1 Woodbrook Dr
Aberdeen, NJ 07747
Phone (732) 583-8704
45 Appleton Ave
Leonardo, NJ 07737
Phone (732) 291-0810
Organizations & group practices 3
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.
-
- Behavior Analyst
- Aberdeen, NJ
- NPI 1447992854
-
- Behavior Analyst
- Port Monmouth, NJ
- NPI 1720393580
-
- Behavior Analyst
- Port Monmouth, NJ
- NPI 1851993695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655856000000",
"number": "1326779299",
"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": "732-682-6645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WOODBROOK DR",
"city": "ABERDEEN",
"state": "NJ",
"postal_code": "077471901",
"telephone_number": "732-682-6645"
}
],
"practiceLocations": [
{
"address_1": "204 Wilson Ave",
"address_purpose": "LOCATION",
"city": "Port Monmouth",
"state": "NJ",
"postal_code": "077581228",
"country_code": "US",
"telephone_number": "732-682-6645",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "45 Appleton Ave",
"address_purpose": "LOCATION",
"city": "Leonardo",
"state": "NJ",
"postal_code": "077371232",
"country_code": "US",
"telephone_number": "732-682-6645",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "405 State Highway 36, Port Monmouth, NJ, USA",
"address_purpose": "LOCATION",
"city": "PortMonmouth",
"state": "NJ",
"postal_code": "077580775",
"country_code": "US",
"telephone_number": "848-757-2123",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEMARCO",
"first_name": "ELIZABETH",
"middle_name": "A",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-22",
"last_updated": "2022-06-22",
"certification_date": "2022-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": "1-22-59936",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "MMLCfamily.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "204 Wilson Ave",
"city": "Port Monmouth",
"state": "NJ",
"country_code": "US",
"postal_code": "077581228",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Aberdeen, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.