Jennifer Ann Moczulski, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BH002629 Issued in PA

Practice address

100 Barber PL
Erie, PA 16507-1863

Phone

(814) 453-7661

NPI assigned

Feb 14, 2023

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

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/barberinstitute/r4/

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.

• Christine Barr

  • Social Worker
  • Erie, PA
  • NPI 1629748702
  NPD
• Dr Gertrude a Barber Center Inc

  dba Barber National Institute

  • Clinic/Center
  • Erie, PA
  • NPI 1063571750
  NPD

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1366149932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 MICHIGAN BLVD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165053811",
            "telephone_number": "814-490-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BARBER PL",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071863",
            "telephone_number": "814-453-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCZULSKI",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH002629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobile Diagnostic Test Serv Inc (HealthTrac)
• Mobile Diagnostic Test Serv Inc (HealthTrac)
• Mobile Medical Unit
• Jonathan Moctezuma, RN
• Amy Jo Moczulski, MA,CCC-SLP
• Julie Konieczny Modzelewski
• Maria Lee Modzelewski, ED.S.
• Tekyiah Nyree Moffett-Taylor
• Gregg Moffett, PHARM. D
• Sarah Moffett, PHARMD

• Behavior Analyst in Erie, PA
• Providers in Erie, PA by specialty
• Behavior Analyst in Pennsylvania

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