Jennifer Pacheco

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-53638 Issued in NJ

Practice address

923 Haddonfield Rd Ste 300
Cherry Hill, NJ 08002-2752

Phone

(561) 335-5681

NPI assigned

Oct 19, 2021

Last updated

Jul 14, 2023By the provider in NPPES

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

Practice roles

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.

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• Compass ABA LLC

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• ABA Centers of America LLC

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  NPD (past)

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1447913124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 ASPEN DR",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070092301",
            "telephone_number": "908-418-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 HADDONFIELD RD STE 300",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022752",
            "telephone_number": "561-335-5681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "176 Aspen Dr",
            "address_purpose": "LOCATION",
            "city": "Cedar Grove",
            "state": "NJ",
            "postal_code": "070092301",
            "country_code": "US",
            "telephone_number": "908-418-7338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-19",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-21-53638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sidney Owens
• Oz Therapy & Wellness LLC
• Brandon Pace
• Darice Pacheco
• Devan Pacheco, PMHNP-BC
• Pacific Light Recovery Center
• Arvin Pacis
• Kaltrina Pacuku
• Katlyn Pagaduan
• Alexander Pagan

• Behavior Analyst in Cherry Hill, NJ
• Providers in Cherry Hill, 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 Jul 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.