Active NPI
Jodi E Nuernberger, PH.D., BCBA-D
- Behavior Analyst
- New Rochelle, NY
National Provider Identifier
1457632986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 28 Cole Ter
New Rochelle, NY 10801-1504 - Phone
- (210) 606-8676
- NPI assigned
- Aug 29, 2011
- 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 | Primary |
Addresses
Primary practice location
28 Cole Ter
New Rochelle, NY 10801-1504
Mailing address
N8964 State Highway 102
Rib Lake, WI 54470-9415
Phone (715) 225-3967
Other practice location 1
N8964 State Highway 102
Rib Lake, WI 54470-9415
Phone (715) 225-3967
Other practice location 2
500C S Lewis Ln
Carbondale, IL 62901-3448
Phone (715) 225-3967
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Source of Success ABA, LLC | Behavior Analyst | Past | 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
- New Rochelle, NY
- NPI 1972434462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1457632986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N8964 STATE HIGHWAY 102",
"city": "RIB LAKE",
"state": "WI",
"postal_code": "544709415",
"telephone_number": "715-225-3967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 COLE TER",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108011504",
"telephone_number": "210-606-8676"
}
],
"practiceLocations": [
{
"address_1": "N8964 State Highway 102",
"address_purpose": "LOCATION",
"city": "Rib Lake",
"state": "WI",
"postal_code": "544709415",
"country_code": "US",
"telephone_number": "715-225-3967",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500C S Lewis Ln",
"address_purpose": "LOCATION",
"city": "Carbondale",
"state": "IL",
"postal_code": "629013448",
"country_code": "US",
"telephone_number": "715-225-3967",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NUERNBERGER",
"first_name": "JODI",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "PH.D., BCBA-D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-29",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Rochelle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.