Active NPI
Klarissa Martin, BCBA
- Behavior Analyst
- Hazlet Township, NJ
National Provider Identifier
1396695730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-26-87384
- Practice address
- 17 10TH St
Hazlet Township, NJ 07734-3048 - Phone
- (732) 673-3053
- NPI assigned
- Feb 3, 2026
- Last updated
- Feb 3, 2026
- 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 | 1-26-87384 | NJ | Primary |
Addresses
Primary practice location
17 10TH St
Hazlet Township, NJ 07734-3048
Mailing address
17 10TH St
Hazlet Township, NJ 07734-3048
Phone (732) 673-3053
Other names 1
- Klarissa Bruno
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 |
|---|---|---|---|
| Kids First NJ Advocacy LLC | Behavior Analyst | Current | Accepting new patients |
Organizations & group practices 1
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
- Hazlet Township, NJ
- NPI 1285588392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770076800000",
"number": "1396695730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 10TH ST",
"city": "HAZLET TOWNSHIP",
"state": "NJ",
"postal_code": "077343048",
"telephone_number": "732-673-3053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 10TH ST",
"city": "HAZLET TOWNSHIP",
"state": "NJ",
"postal_code": "077343048",
"telephone_number": "732-673-3053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "KLARISSA",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-03",
"last_updated": "2026-02-03",
"certification_date": "2026-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NJ",
"license": "1-26-87384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KLARISSA",
"last_name": "BRUNO",
"credential": "BCBA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hazlet Township, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.