Individual provider Active NPI

Rebecca Reitano, RBT

  • Behavior Technician
  • Cherry Hill, NJ
National Provider Identifier
1336932540
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
BACB1138121 Issued in NJ
Practice address
2 Pin Oak LN Ste 250
Cherry Hill, NJ 08003-1630
Phone
(856) 669-0211
NPI assigned
May 28, 2025
Last updated
May 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X BACB1138121 NJ Primary

Addresses

Primary practice location

2 Pin Oak LN Ste 250
Cherry Hill, NJ 08003-1630

Mailing address

31 Lafayette Ave
Somerdale, NJ 08083-1320
Phone (267) 259-1084

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
BACB1138121NJMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1336932540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 LAFAYETTE AVE",
            "city": "SOMERDALE",
            "state": "NJ",
            "postal_code": "080831320",
            "telephone_number": "267-259-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PIN OAK LN STE 250",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031630",
            "telephone_number": "856-669-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REITANO",
        "first_name": "REBECCA",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NJ",
            "license": "BACB1138121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.