Eclipse Behavioral Health Services

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ECLIPSE BEHAVIORAL HEALTH SERVICES

Practice address

125 Half Mile Rd Ste 200
Red Bank, NJ 07701-6749

Phone

(718) 685-9526

NPI assigned

Mar 13, 2023

Last updated

Mar 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacqueline BediakoNPI 1952776502

Title

Miss

Phone

(718) 685-9526

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacqueline Bediako

  • Behavior Analyst
  • Red Bank, NJ
  • NPI 1952776502
  NPD Authorized official

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1346941770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 PROSPECT AVE STE 17",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 HALF MILE RD STE 200",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077016749",
            "telephone_number": "718-685-9526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECLIPSE BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "BEDIAKO",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "MISS",
        "authorized_official_telephone_number": "718-685-9526"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ea Health - New Jersey LLC
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• Joel Barry Edman, M.D.
• Julie Ann Edwards, FNP
• Ebikaboere Ejimofor, M.D.
• Elaine Bacci, D.O.,LLC
• Elena Mazza, LCSW, Limited Liability Company

• Behavior Analyst in Red Bank, NJ
• Providers in Red Bank, 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 Mar 15, 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.